Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $4,368.00 / $6,915.00	Facility		$1,194.00	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.01 / $823.33 / $1,596.51	Professional		$689.01	$823.33	$1,596.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.34 / $1,101.83 / $1,993.50	Professional		$767.34	$1,101.83	$1,993.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,337.49 / $1,617.51 / $2,200.31	Facility		$1,337.49	$1,617.51	$2,200.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $874.54 / $4,830.16	Facility		$860.00	$874.54	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.95 / $1,195.01 / $1,949.97	Professional		$794.95	$1,195.01	$1,949.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $844.68 / $1,192.73 / $1,955.64	Professional		$844.68	$1,192.73	$1,955.64
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 $672.72 / $1,068.90 / $1,740.79	Professional		$672.72	$1,068.90	$1,740.79