Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.68 / $5,045.00 / $6,915.00	Facility		$798.68	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.53 / $839.24 / $1,636.99	Professional		$698.53	$839.24	$1,636.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.12 / $1,111.80 / $2,011.52	Professional		$751.12	$1,111.80	$2,011.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,355.22 / $1,632.00 / $2,220.00	Facility		$1,355.22	$1,632.00	$2,220.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $881.60 / $2,500.00	Facility		$500.00	$881.60	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.86 / $1,215.79 / $1,981.63	Professional		$800.86	$1,215.79	$1,981.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $852.25 / $1,288.17 / $1,920.53	Professional		$852.25	$1,288.17	$1,920.53
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 $685.92 / $1,009.78 / $1,756.52	Professional		$685.92	$1,009.78	$1,756.52