Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.26 / $5,045.00 / $6,915.00	Facility		$756.26	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.09 / $808.06 / $1,765.30	Professional		$660.09	$808.06	$1,765.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $39,007.80	Facility		$1,282.27	$5,155.99	$39,007.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.88 / $1,054.82 / $1,908.44	Professional		$709.88	$1,054.82	$1,908.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,285.29 / $1,549.20 / $2,107.37	Facility		$1,285.29	$1,549.20	$2,107.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $836.97 / $2,500.00	Facility		$500.00	$836.97	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.26 / $1,150.01 / $1,876.01	Professional		$755.26	$1,150.01	$1,876.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $809.00 / $1,221.68 / $1,823.07	Professional		$809.00	$1,221.68	$1,823.07
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 $648.80 / $992.29 / $1,666.52	Professional		$648.80	$992.29	$1,666.52