Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.44 / $572.44 / $1,621.52	Facility		$572.44	$572.44	$1,621.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.44 / $808.16 / $915.90	Professional		$572.44	$808.16	$915.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,374.17 / $1,923.84 / $5,043.20	Facility		$1,374.17	$1,923.84	$5,043.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.62 / $1,142.59 / $2,193.79	Professional		$732.62	$1,142.59	$2,193.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,168.04 / $1,361.73 / $2,542.21	Facility		$1,168.04	$1,361.73	$2,542.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,168.04 / $1,168.04 / $1,168.04	Professional		$1,168.04	$1,168.04	$1,168.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,036.33	Facility		$1,036.33	$1,036.33	$1,036.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $1,014.07 / $1,836.04	Professional		$756.53	$1,014.07	$1,836.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.36 / $1,374.17 / $1,908.97	Professional		$1,044.36	$1,374.17	$1,908.97
United Facility/Professional Professional Modifier Low / Median / High Price $457.04 / $685.56 / $1,131.05	Professional		$457.04	$685.56	$1,131.05