Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.83 / $3,360.00 / $8,407.04	Facility		$303.83	$3,360.00	$8,407.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $131.84 / $593.62	Professional		$111.83	$131.84	$593.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $183.02 / $320.54	Professional		$129.63	$183.02	$320.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.53 / $165.68 / $197.31	Facility		$117.53	$165.68	$197.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $148.54 / $159.96	Professional		$114.26	$148.54	$159.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $140.24 / $2,575.00	Facility		$140.24	$140.24	$2,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $203.63 / $355.74	Professional		$127.84	$203.63	$355.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.35 / $767.21 / $983.74	Professional		$216.35	$767.21	$983.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $178.77 / $306.95	Professional		$111.66	$178.77	$306.95