Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.66 / $2,595.00 / $6,915.00	Facility		$85.66	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $105.32 / $255.42	Professional		$47.56	$105.32	$255.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $74.69 / $134.68	Professional		$49.47	$74.69	$134.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $82.54 / $82.54	Facility		$82.54	$82.54	$82.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $139.22 / $248.70	Professional		$67.34	$139.22	$248.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $110.19 / $534.49	Professional		$51.66	$110.19	$534.49
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 $114.42 / $149.69 / $242.56	Professional		$114.42	$149.69	$242.56