Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,045.00 / $6,915.00	Facility		$1,202.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.42 / $945.67 / $1,803.76	Professional		$772.42	$945.67	$1,803.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,120.00 / $6,315.83	Facility		$1,082.02	$3,120.00	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.82 / $1,213.07 / $2,226.85	Professional		$818.82	$1,213.07	$2,226.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,216.81 / $1,216.81 / $1,216.81	Facility		$1,216.81	$1,216.81	$1,216.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.16 / $983.16 / $2,172.58	Facility		$983.16	$983.16	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.18 / $1,305.36 / $2,194.84	Professional		$815.18	$1,305.36	$2,194.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $949.56 / $1,450.96 / $2,139.83	Professional		$949.56	$1,450.96	$2,139.83
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 $758.28 / $1,144.45 / $1,957.61	Professional		$758.28	$1,144.45	$1,957.61