Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.24 / $3,391.00 / $6,915.00	Facility		$876.24	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.10 / $615.76 / $1,329.81	Professional		$487.10	$615.76	$1,329.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.14 / $2,795.56 / $6,315.83	Facility		$776.14	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.45 / $707.04 / $1,354.14	Professional		$495.45	$707.04	$1,354.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $939.00 / $1,022.90 / $1,570.86	Facility		$939.00	$1,022.90	$1,570.86
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 $568.87 / $836.45 / $1,521.90	Professional		$568.87	$836.45	$1,521.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.89 / $639.46 / $1,649.43	Professional		$491.89	$639.46	$1,649.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.91 / $722.99 / $1,207.14	Professional		$519.91	$722.99	$1,207.14