Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $3,460.00 / $6,915.00	Facility		$1,362.00	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,093.74 / $2,404.03	Professional		$150.00	$1,093.74	$2,404.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,260.19 / $7,672.64	Facility		$450.00	$2,260.19	$7,672.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.44 / $116.44 / $116.44	Professional		$116.44	$116.44	$116.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $700.00 / $9,353.00	Facility		$400.00	$700.00	$9,353.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $1,654.00	Professional		$320.00	$320.00	$1,654.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,400.00	Professional		$1,400.00	$1,400.00	$1,400.00
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00