Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,063.00 / $9,512.00	Facility		$1,202.00	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.21 / $951.24 / $2,146.73	Professional		$765.21	$951.24	$2,146.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,186.06 / $3,143.25 / $5,292.58	Facility		$1,186.06	$3,143.25	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.47 / $1,235.40 / $2,151.19	Professional		$831.47	$1,235.40	$2,151.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,374.12 / $1,374.12 / $1,374.12	Facility		$1,374.12	$1,374.12	$1,374.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.02 / $943.02 / $1,918.46	Facility		$943.02	$943.02	$1,918.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.44 / $1,368.11 / $2,158.53	Professional		$864.44	$1,368.11	$2,158.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $905.49 / $1,391.16 / $2,774.54	Professional		$905.49	$1,391.16	$2,774.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,594.00 / $7,647.00	Facility		$1,323.00	$4,594.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.81 / $1,180.41 / $1,900.42	Professional		$771.81	$1,180.41	$1,900.42