Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.00 / $5,045.00 / $8,331.00	Facility		$723.00	$5,045.00	$8,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.27 / $847.22 / $1,640.21	Professional		$687.27	$847.22	$1,640.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.25 / $1,046.36 / $1,982.69	Professional		$693.25	$1,046.36	$1,982.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,315.94 / $1,450.83 / $2,228.06	Facility		$1,315.94	$1,450.83	$2,228.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.25 / $3,185.25 / $3,185.25	Facility		$3,185.25	$3,185.25	$3,185.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.57 / $1,197.42 / $1,995.27	Professional		$824.57	$1,197.42	$1,995.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.34 / $896.14 / $2,034.42	Professional		$689.34	$896.14	$2,034.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $744.29 / $1,098.61 / $1,842.61	Professional		$744.29	$1,098.61	$1,842.61