Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.85 / $3,460.00 / $6,915.00	Facility		$271.85	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.28 / $248.43 / $495.42	Professional		$128.28	$248.43	$495.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.12 / $192.76 / $326.00	Professional		$115.12	$192.76	$326.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $351.05 / $351.05 / $351.05	Facility		$351.05	$351.05	$351.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $161.41 / $1,918.46	Facility		$161.41	$161.41	$1,918.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $263.77 / $506.94	Professional		$153.08	$263.77	$506.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.03 / $251.13 / $521.61	Professional		$112.03	$251.13	$521.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,218.00 / $5,352.00	Facility		$1,162.00	$3,218.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.79 / $330.97 / $523.78	Professional		$221.79	$330.97	$523.78