Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,905.46 / $1,949.84	Facility		$660.69	$1,905.46	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,348.96	Professional		$660.69	$776.25	$1,348.96
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 $954.99 / $1,318.26 / $1,949.84	Professional		$954.99	$1,318.26	$1,949.84
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 Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,511.89	Facility		$891.25	$891.25	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,862.09	Professional		$645.65	$645.65	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $3,162.28	Professional		$1,047.13	$1,621.81	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,071.52 / $1,122.02	Facility		$549.54	$1,071.52	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,548.82	Professional		$537.03	$794.33	$1,548.82