Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.60 / $1,177.60 / $3,335.74	Facility		$1,177.60	$1,177.60	$3,335.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.60 / $1,655.22 / $2,184.16	Professional		$1,177.60	$1,655.22	$2,184.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,826.90 / $3,957.66 / $10,374.71	Facility		$2,826.90	$3,957.66	$10,374.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,619.41 / $2,350.51 / $4,512.97	Professional		$1,619.41	$2,350.51	$4,512.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,277.63 / $2,788.98 / $5,229.77	Facility		$2,277.63	$2,788.98	$5,229.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,402.87 / $2,402.87 / $2,402.87	Professional		$2,402.87	$2,402.87	$2,402.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $2,283.76	Facility		$2,283.76	$2,283.76	$2,283.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $1,667.14 / $3,580.68	Professional		$1,667.14	$1,667.14	$3,580.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,148.44 / $2,826.90 / $5,185.00	Professional		$2,148.44	$2,826.90	$5,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,046.70 / $1,410.31 / $2,350.51	Professional		$1,046.70	$1,410.31	$2,350.51