Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,562.92 / $2,562.92 / $7,259.84	Facility		$2,562.92	$2,562.92	$7,259.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,562.92 / $3,639.35 / $5,171.78	Professional		$2,562.92	$3,639.35	$5,171.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,152.41 / $8,613.37 / $22,579.34	Facility		$6,152.41	$8,613.37	$22,579.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,280.03 / $5,115.62 / $9,821.99	Professional		$3,280.03	$5,115.62	$9,821.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,194.55 / $6,213.77 / $11,381.96	Facility		$5,194.55	$6,213.77	$11,381.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,229.55 / $5,229.55 / $5,229.55	Professional		$5,229.55	$5,229.55	$5,229.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $4,728.96	Facility		$4,728.96	$4,728.96	$4,728.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $4,627.34 / $8,382.66	Professional		$3,452.14	$4,627.34	$8,382.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,675.83 / $6,152.41 / $8,547.70	Professional		$4,675.83	$6,152.41	$8,547.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,387.19 / $3,069.37 / $5,115.62	Professional		$2,387.19	$3,069.37	$5,115.62