Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.62 / $4,592.00 / $6,915.00	Facility		$501.62	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.52 / $474.98 / $883.73	Professional		$292.52	$474.98	$883.73
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 $330.21 / $462.54 / $849.10	Professional		$330.21	$462.54	$849.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $569.15 / $695.57 / $1,028.30	Facility		$569.15	$695.57	$1,028.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.65 / $557.65 / $1,000.00	Facility		$557.65	$557.65	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.41 / $568.29 / $1,066.14	Professional		$333.41	$568.29	$1,066.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.25 / $599.03 / $1,237.41	Professional		$396.25	$599.03	$1,237.41
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 $431.44 / $649.11 / $1,142.50	Professional		$431.44	$649.11	$1,142.50