Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.44 / $1,189.44 / $3,369.24	Facility		$1,189.44	$1,189.44	$3,369.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.44 / $1,689.00 / $2,339.38	Professional		$1,189.44	$1,689.00	$2,339.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,855.29 / $3,997.41 / $10,478.91	Facility		$2,855.29	$3,997.41	$10,478.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,522.25 / $2,374.12 / $4,558.31	Professional		$1,522.25	$2,374.12	$4,558.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,427.00 / $3,088.50 / $5,596.37	Facility		$2,427.00	$3,088.50	$5,596.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,427.00 / $2,427.00 / $2,427.00	Professional		$2,427.00	$2,427.00	$2,427.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $1,784.15	Facility		$1,784.15	$1,784.15	$1,784.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,784.15 / $3,815.45	Professional		$1,302.43	$1,784.15	$3,815.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,170.02 / $2,855.29 / $5,187.87	Professional		$2,170.02	$2,855.29	$5,187.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.34 / $1,424.47 / $2,350.13	Professional		$1,115.34	$1,424.47	$2,350.13