Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,890.45 / $6,025.60	Facility		$1,621.81	$3,890.45	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $1,380.38	Professional		$891.25	$954.99	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,090.30	Professional		$2,454.71	$2,454.71	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,951.21	Professional		$1,148.15	$1,621.81	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,122.02 / $1,258.93	Facility		$616.60	$1,122.02	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,380.38	Professional		$524.81	$794.33	$1,380.38