Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,213.26 / $1,213.26 / $3,436.73	Facility		$1,213.26	$1,213.26	$3,436.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.26 / $1,722.83 / $2,448.26	Professional		$1,213.26	$1,722.83	$2,448.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,912.48 / $4,077.47 / $10,688.80	Facility		$2,912.48	$4,077.47	$10,688.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,552.74 / $2,421.67 / $4,649.63	Professional		$1,552.74	$2,421.67	$4,649.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,475.61 / $2,961.62 / $5,708.46	Facility		$2,475.61	$2,961.62	$5,708.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,475.61 / $2,475.61 / $2,475.61	Professional		$2,475.61	$2,475.61	$2,475.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $1,819.89	Facility		$1,819.89	$1,819.89	$1,819.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,819.89 / $3,891.62	Professional		$1,328.52	$1,819.89	$3,891.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,213.48 / $2,912.48 / $4,046.47	Professional		$2,213.48	$2,912.48	$4,046.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $968.67 / $1,453.01 / $2,397.19	Professional		$968.67	$1,453.01	$2,397.19