Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.49 / $4,592.00 / $6,915.00	Facility		$455.49	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.14 / $438.57 / $827.23	Professional		$311.14	$438.57	$827.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.66 / $460.12 / $844.65	Professional		$328.66	$460.12	$844.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $566.04 / $685.17 / $947.76	Facility		$566.04	$685.17	$947.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.37 / $555.37 / $1,918.46	Facility		$555.37	$555.37	$1,918.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.12 / $556.16 / $987.26	Professional		$354.12	$556.16	$987.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.32 / $566.84 / $1,089.30	Professional		$390.32	$566.84	$1,089.30
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 $375.57 / $575.54 / $989.66	Professional		$375.57	$575.54	$989.66