Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.58 / $5,063.00 / $9,512.00	Facility		$1,036.58	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.87 / $820.62 / $1,782.94	Professional		$665.87	$820.62	$1,782.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $4,412.76 / $8,545.91	Facility		$1,540.00	$4,412.76	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.00 / $1,039.66 / $1,908.53	Professional		$687.00	$1,039.66	$1,908.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,066.98 / $1,066.98 / $1,066.98	Facility		$1,066.98	$1,066.98	$1,066.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $839.94 / $839.94 / $5,087.16	Facility		$839.94	$839.94	$5,087.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.88 / $1,136.66 / $1,898.32	Professional		$724.88	$1,136.66	$1,898.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $809.36 / $1,103.67 / $2,304.36	Professional		$809.36	$1,103.67	$2,304.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.25 / $1,013.46 / $1,866.02	Professional		$678.25	$1,013.46	$1,866.02