Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.09 / $1,473.09 / $4,172.74	Facility		$1,473.09	$1,473.09	$4,172.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,473.09 / $1,853.96 / $2,356.94	Professional		$1,473.09	$1,853.96	$2,356.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.22 / $4,950.71 / $12,977.93	Facility		$3,536.22	$4,950.71	$12,977.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,871.78 / $2,940.30 / $5,645.38	Professional		$1,871.78	$2,940.30	$5,645.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,226.42 / $2,923.02 / $5,481.14	Facility		$1,226.42	$2,923.02	$5,481.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.32 / $2,855.49 / $3,005.79	Professional		$1,202.32	$2,855.49	$3,005.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,861.13 / $2,861.13 / $2,861.13	Facility		$2,861.13	$2,861.13	$2,861.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,431.96 / $2,431.96 / $4,181.63	Professional		$2,431.96	$2,431.96	$4,181.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,687.53 / $3,536.22 / $5,849.02	Professional		$2,687.53	$3,536.22	$5,849.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,176.11 / $1,764.18 / $2,910.57	Professional		$1,176.11	$1,764.18	$2,910.57