Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.48 / $5,045.00 / $6,915.00	Facility		$1,316.48	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.35 / $933.34 / $1,823.20	Professional		$776.35	$933.34	$1,823.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.27 / $1,240.46 / $2,235.30	Professional		$836.27	$1,240.46	$2,235.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,505.51 / $1,811.81 / $2,464.59	Facility		$1,505.51	$1,811.81	$2,464.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.70 / $978.70 / $4,830.16	Facility		$978.70	$978.70	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.20 / $1,353.05 / $2,203.28	Professional		$889.20	$1,353.05	$2,203.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.14 / $1,319.58 / $2,132.12	Professional		$946.14	$1,319.58	$2,132.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.23 / $1,213.65 / $2,243.61	Professional		$780.23	$1,213.65	$2,243.61