Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.14 / $5,045.00 / $6,915.00	Facility		$859.14	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.79 / $997.98 / $1,973.68	Professional		$818.79	$997.98	$1,973.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,431.64 / $10,456.09	Facility		$1,298.47	$4,431.64	$10,456.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.66 / $1,171.23 / $2,271.21	Professional		$830.66	$1,171.23	$2,271.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,576.11 / $1,722.12 / $2,644.70	Facility		$1,576.11	$1,722.12	$2,644.70
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 $948.95 / $1,410.19 / $2,386.87	Professional		$948.95	$1,410.19	$2,386.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $825.64 / $1,073.33 / $2,448.03	Professional		$825.64	$1,073.33	$2,448.03
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 $876.55 / $1,286.74 / $2,209.71	Professional		$876.55	$1,286.74	$2,209.71