Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.79 / $4,353.00 / $6,915.00	Facility		$915.79	$4,353.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.12 / $572.34 / $1,252.77	Professional		$471.12	$572.34	$1,252.77
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 $527.01 / $800.75 / $1,417.94	Professional		$527.01	$800.75	$1,417.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.76 / $1,109.81 / $1,633.83	Facility		$914.76	$1,109.81	$1,633.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.38 / $600.38 / $2,172.58	Facility		$600.38	$600.38	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.47 / $849.92 / $1,350.32	Professional		$562.47	$849.92	$1,350.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.54 / $875.72 / $1,619.15	Professional		$579.54	$875.72	$1,619.15
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 $469.10 / $771.06 / $1,277.84	Professional		$469.10	$771.06	$1,277.84