Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.11 / $5,045.00 / $6,915.00	Facility		$986.11	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.91 / $1,127.76 / $1,992.83	Professional		$928.91	$1,127.76	$1,992.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,842.74 / $15,411.81	Facility		$1,538.99	$5,842.74	$15,411.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.89 / $1,319.22 / $2,592.58	Professional		$930.89	$1,319.22	$2,592.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,767.08 / $1,933.05 / $2,968.62	Facility		$1,767.08	$1,933.05	$2,968.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.21 / $1,606.22 / $2,668.95	Professional		$1,071.21	$1,606.22	$2,668.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $925.67 / $1,203.36 / $2,468.92	Professional		$925.67	$1,203.36	$2,468.92
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $998.39 / $1,418.39 / $2,474.26	Professional		$998.39	$1,418.39	$2,474.26