Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.16 / $3,391.00 / $6,915.00	Facility		$766.16	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.73 / $582.57 / $1,029.74	Professional		$472.73	$582.57	$1,029.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.14 / $2,986.70 / $6,315.83	Facility		$776.14	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.38 / $695.39 / $1,315.22	Professional		$478.38	$695.39	$1,315.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $906.20 / $998.24 / $1,533.00	Facility		$906.20	$998.24	$1,533.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $2,090.96 / $2,090.96	Facility		$2,090.96	$2,090.96	$2,090.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.35 / $796.99 / $1,376.78	Professional		$567.35	$796.99	$1,376.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.70 / $617.11 / $1,034.22	Professional		$474.70	$617.11	$1,034.22
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.34 / $747.18 / $1,214.48	Professional		$511.34	$747.18	$1,214.48