Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.40 / $1,399.96 / $2,409.19	Facility		$505.40	$1,399.96	$2,409.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $608.00 / $722.00	Professional		$456.00	$608.00	$722.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.86 / $760.00 / $974.58	Facility		$420.86	$760.00	$974.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $304.00 / $684.00	Professional		$228.00	$304.00	$684.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $522.88 / $760.00 / $1,216.00	Facility		$522.88	$760.00	$1,216.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $1,672.00 / $2,109.37	Facility		$988.00	$1,672.00	$2,109.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $926.36 / $1,157.95	Professional		$873.50	$926.36	$1,157.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $874.00 / $988.00	Professional		$836.00	$874.00	$988.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $775.28	Professional		$319.20	$456.00	$775.28