Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.85 / $3,391.00 / $6,915.00	Facility		$804.85	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.00 / $576.83 / $1,111.84	Professional		$483.00	$576.83	$1,111.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.30 / $773.22 / $1,398.96	Professional		$539.30	$773.22	$1,398.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $936.95 / $1,136.01 / $1,545.32	Facility		$936.95	$1,136.01	$1,545.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.51 / $614.51 / $1,153.31	Facility		$614.51	$614.51	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.84 / $829.31 / $1,364.96	Professional		$548.84	$829.31	$1,364.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.24 / $897.52 / $1,336.84	Professional		$593.24	$897.52	$1,336.84
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.26 / $719.23 / $1,221.61	Professional		$470.26	$719.23	$1,221.61