Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.77 / $971.77 / $2,752.67	Facility		$971.77	$971.77	$2,752.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.77 / $1,379.91 / $1,685.97	Professional		$971.77	$1,379.91	$1,685.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,332.77 / $3,265.88 / $8,561.27	Facility		$2,332.77	$3,265.88	$8,561.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,243.68 / $1,939.65 / $3,724.13	Professional		$1,243.68	$1,939.65	$3,724.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,982.85 / $2,395.51 / $4,572.22	Facility		$1,982.85	$2,395.51	$4,572.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,982.85 / $1,982.85 / $1,982.85	Professional		$1,982.85	$1,982.85	$1,982.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $1,823.10	Facility		$1,823.10	$1,823.10	$1,823.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,783.92 / $3,116.97	Professional		$1,330.86	$1,783.92	$3,116.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,772.91 / $2,332.77 / $3,240.97	Professional		$1,772.91	$2,332.77	$3,240.97
United Facility/Professional Professional Modifier Low / Median / High Price $911.24 / $1,163.79 / $1,920.05	Professional		$911.24	$1,163.79	$1,920.05