Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.30 / $917.30 / $2,598.36	Facility		$917.30	$917.30	$2,598.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.30 / $1,104.81 / $1,467.67	Professional		$917.30	$1,104.81	$1,467.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.00 / $3,082.80 / $8,081.34	Facility		$2,202.00	$3,082.80	$8,081.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.89 / $1,830.93 / $3,515.39	Professional		$1,183.89	$1,830.93	$3,515.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,817.01 / $1,871.70 / $4,073.70	Facility		$1,817.01	$1,871.70	$4,073.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,871.70 / $1,871.70 / $1,871.70	Professional		$1,871.70	$1,871.70	$1,871.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $1,222.54	Facility		$1,222.54	$1,222.54	$1,222.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $2,614.27	Professional		$892.45	$892.45	$2,614.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,673.52 / $2,202.00 / $3,059.14	Professional		$1,673.52	$2,202.00	$3,059.14
United Facility/Professional Professional Modifier Low / Median / High Price $764.26 / $1,098.56 / $1,812.42	Professional		$764.26	$1,098.56	$1,812.42