Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.53 / $5,063.00 / $12,390.00	Facility		$885.53	$5,063.00	$12,390.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.66 / $640.13 / $1,242.92	Professional		$515.66	$640.13	$1,242.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,676.72 / $21,112.96	Facility		$1,082.02	$3,676.72	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.13 / $820.62 / $1,516.51	Professional		$562.13	$820.62	$1,516.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,018.55 / $1,230.41 / $1,673.72	Facility		$1,018.55	$1,230.41	$1,673.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.11 / $665.11 / $2,172.58	Facility		$665.11	$665.11	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.69 / $882.70 / $1,485.57	Professional		$591.69	$882.70	$1,485.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.52 / $907.89 / $1,447.92	Professional		$642.52	$907.89	$1,447.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.74 / $784.57 / $1,324.27	Professional		$514.74	$784.57	$1,324.27