Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.33 / $2,800.00 / $6,915.00	Facility		$275.33	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.75 / $279.56 / $479.06	Professional		$157.75	$279.56	$479.06
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 $170.03 / $243.14 / $439.90	Professional		$170.03	$243.14	$439.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.25 / $356.43 / $528.00	Facility		$292.25	$356.43	$528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $285.79 / $1,653.56	Facility		$285.79	$285.79	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $318.00 / $612.10	Professional		$172.71	$318.00	$612.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $355.86 / $750.39	Professional		$203.05	$355.86	$750.39
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 $243.80 / $348.95 / $681.78	Professional		$243.80	$348.95	$681.78