Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.52 / $3,460.00 / $6,915.00	Facility		$1,132.52	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.10 / $420.75 / $1,511.17	Professional		$147.10	$420.75	$1,511.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,164.37 / $3,164.37 / $3,164.37	Professional	50	$3,164.37	$3,164.37	$3,164.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.02 / $651.22 / $1,730.24	Professional		$181.02	$651.22	$1,730.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $271.54 / $976.83 / $2,595.36	Professional	50	$271.54	$976.83	$2,595.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.77 / $304.14 / $467.07	Facility		$279.77	$304.14	$467.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.90 / $983.90 / $983.90	Facility		$983.90	$983.90	$983.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $1,044.38 / $2,153.39	Professional		$187.04	$1,044.38	$2,153.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $955.13 / $3,653.00	Professional		$161.22	$955.13	$3,653.00
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.73 / $1,542.42 / $2,273.65	Professional		$1,027.73	$1,542.42	$2,273.65