Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.60 / $477.60 / $1,569.27	Professional		$477.60	$477.60	$1,569.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.33 / $682.29 / $2,078.66	Facility		$162.33	$682.29	$2,078.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $77.30 / $1,303.17	Professional		$57.97	$77.30	$1,303.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $682.29 / $989.32 / $1,466.44	Facility		$682.29	$989.32	$1,466.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.98 / $1,501.04 / $2,103.40	Facility		$886.98	$1,501.04	$2,103.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.83 / $3,841.23 / $3,841.23	Professional		$545.83	$3,841.23	$3,841.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $614.05 / $886.98 / $5,317.05	Professional		$614.05	$886.98	$5,317.05
United Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $409.37 / $1,239.79	Professional		$286.56	$409.37	$1,239.79