Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.59 / $4,338.00 / $6,915.00	Facility		$1,568.59	$4,338.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.63 / $1,129.33 / $3,179.33	Professional		$926.63	$1,129.33	$3,179.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $3,392.46 / $8,545.91	Facility		$989.09	$3,392.46	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $973.09 / $1,521.11 / $2,565.48	Professional		$973.09	$1,521.11	$2,565.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,637.63 / $1,637.63 / $1,637.63	Facility		$1,637.63	$1,637.63	$1,637.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,107.83 / $4,013.65	Facility		$860.00	$1,107.83	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.78 / $1,734.94 / $2,680.83	Professional		$1,027.78	$1,734.94	$2,680.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.80 / $1,635.92 / $4,906.76	Professional		$1,064.80	$1,635.92	$4,906.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $922.43 / $1,448.46 / $2,297.59	Professional		$922.43	$1,448.46	$2,297.59