Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,045.00 / $6,915.00	Facility		$1,202.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.36 / $872.03 / $1,848.60	Professional		$719.36	$872.03	$1,848.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.38 / $5,842.74 / $17,934.25	Facility		$1,478.38	$5,842.74	$17,934.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.07 / $1,131.93 / $2,047.94	Professional		$787.07	$1,131.93	$2,047.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,231.08 / $1,231.08 / $1,231.08	Facility		$1,231.08	$1,231.08	$1,231.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $895.74 / $2,500.00	Facility		$500.00	$895.74	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.16 / $1,259.29 / $2,036.83	Professional		$817.16	$1,259.29	$2,036.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.61 / $1,246.57 / $2,118.32	Professional		$864.61	$1,246.57	$2,118.32
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 $690.84 / $1,089.71 / $1,788.33	Professional		$690.84	$1,089.71	$1,788.33