Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,123.39 / $2,123.39 / $6,014.79	Facility		$2,123.39	$2,123.39	$6,014.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,123.39 / $2,902.58 / $3,520.99	Professional		$2,123.39	$2,902.58	$3,520.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,097.28 / $7,136.19 / $18,707.02	Facility		$5,097.28	$7,136.19	$18,707.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,717.52 / $4,238.29 / $8,137.52	Professional		$2,717.52	$4,238.29	$8,137.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,310.84 / $4,701.52 / $9,429.96	Facility		$4,310.84	$4,701.52	$9,429.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,332.68 / $4,332.68 / $4,332.68	Professional		$4,332.68	$4,332.68	$4,332.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,578.08 / $3,578.08 / $3,578.08	Facility		$3,578.08	$3,578.08	$3,578.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $6,457.50	Professional		$2,612.00	$2,612.00	$6,457.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,873.93 / $5,097.28 / $7,082.09	Professional		$3,873.93	$5,097.28	$7,082.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,887.80 / $2,542.96 / $4,195.46	Professional		$1,887.80	$2,542.96	$4,195.46