Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.59 / $5,063.00 / $9,488.00	Facility		$814.59	$5,063.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.79 / $791.03 / $1,647.71	Professional		$596.79	$791.03	$1,647.71
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 $639.88 / $915.03 / $1,655.52	Professional		$639.88	$915.03	$1,655.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,156.42 / $1,156.42 / $1,156.42	Facility		$1,156.42	$1,156.42	$1,156.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.41 / $1,084.85 / $1,875.00	Facility		$904.41	$1,084.85	$1,875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.22 / $1,056.70 / $1,835.27	Professional		$709.22	$1,056.70	$1,835.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.75 / $1,071.39 / $2,129.57	Professional		$760.75	$1,071.39	$2,129.57
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.22 / $1,052.86 / $1,809.28	Professional		$686.22	$1,052.86	$1,809.28