Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.89 / $3,391.00 / $6,915.00	Facility		$850.89	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.51 / $638.37 / $1,231.75	Professional		$509.51	$638.37	$1,231.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.17 / $3,143.25 / $7,200.00	Facility		$839.17	$3,143.25	$7,200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.13 / $727.98 / $1,366.48	Professional		$516.13	$727.98	$1,366.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $985.28 / $1,070.75 / $1,644.36	Facility		$985.28	$1,070.75	$1,644.36
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 $588.26 / $872.88 / $1,473.57	Professional		$588.26	$872.88	$1,473.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.13 / $670.97 / $1,527.78	Professional		$516.13	$670.97	$1,527.78
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 $543.34 / $753.81 / $1,266.93	Professional		$543.34	$753.81	$1,266.93