Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.67 / $5,063.00 / $7,421.00	Facility		$1,124.67	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.77 / $799.13 / $1,530.46	Professional		$655.77	$799.13	$1,530.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $3,931.95 / $8,545.91	Facility		$1,240.00	$3,931.95	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.07 / $1,041.98 / $1,885.21	Professional		$720.07	$1,041.98	$1,885.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,261.74 / $1,484.40 / $2,077.19	Facility		$1,261.74	$1,484.40	$2,077.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $826.55 / $2,225.00	Facility		$500.00	$826.55	$2,225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,133.80 / $1,864.93	Professional		$737.10	$1,133.80	$1,864.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.42 / $1,087.40 / $1,841.77	Professional		$797.42	$1,087.40	$1,841.77
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 $661.99 / $1,003.08 / $1,804.42	Professional		$661.99	$1,003.08	$1,804.42