Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.16 / $5,063.00 / $7,391.00	Facility		$1,075.16	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.02 / $734.96 / $1,628.66	Professional		$613.02	$734.96	$1,628.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,435.54 / $12,227.65	Facility		$1,603.22	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.51 / $979.10 / $1,771.45	Professional		$683.51	$979.10	$1,771.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,191.98 / $1,439.78 / $1,958.51	Facility		$1,191.98	$1,439.78	$1,958.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.19 / $778.19 / $4,830.16	Facility		$778.19	$778.19	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.87 / $1,066.09 / $1,736.05	Professional		$710.87	$1,066.09	$1,736.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $751.86 / $1,051.98 / $1,712.36	Professional		$751.86	$1,051.98	$1,712.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.33 / $905.67 / $1,546.89	Professional		$600.33	$905.67	$1,546.89