Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.85 / $618.85 / $1,752.97	Facility		$618.85	$618.85	$1,752.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.85 / $878.77 / $1,100.18	Professional		$618.85	$878.77	$1,100.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,485.57 / $2,079.80 / $5,452.04	Facility		$1,485.57	$2,079.80	$5,452.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.01 / $1,235.23 / $2,371.64	Professional		$792.01	$1,235.23	$2,371.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,262.73 / $1,541.84 / $2,748.30	Facility		$1,262.73	$1,541.84	$2,748.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,262.73 / $1,262.73 / $1,262.73	Professional		$1,262.73	$1,262.73	$1,262.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,232.20	Facility		$1,232.20	$1,232.20	$1,232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $1,148.19 / $1,983.89	Professional		$899.51	$1,148.19	$1,983.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,129.03 / $1,485.57 / $2,064.16	Professional		$1,129.03	$1,485.57	$2,064.16
United Facility/Professional Professional Modifier Low / Median / High Price $579.98 / $741.14 / $1,222.75	Professional		$579.98	$741.14	$1,222.75