Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.66 / $596.66 / $1,690.14	Facility		$596.66	$596.66	$1,690.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.66 / $847.26 / $1,140.86	Professional		$596.66	$847.26	$1,140.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,432.32 / $2,005.25 / $5,256.61	Facility		$1,432.32	$2,005.25	$5,256.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.61 / $1,190.95 / $2,286.62	Professional		$763.61	$1,190.95	$2,286.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,217.47 / $1,481.76 / $2,649.79	Facility		$1,217.47	$1,481.76	$2,649.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,217.47 / $1,217.47 / $1,217.47	Professional		$1,217.47	$1,217.47	$1,217.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $895.00	Facility		$895.00	$895.00	$895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $895.00 / $1,914.00	Professional		$653.35	$895.00	$1,914.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,088.56 / $1,432.32 / $1,990.08	Professional		$1,088.56	$1,432.32	$1,990.08
United Facility/Professional Professional Modifier Low / Median / High Price $595.48 / $714.57 / $1,178.91	Professional		$595.48	$714.57	$1,178.91