Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.23 / $2,987.00 / $6,915.00	Facility		$370.23	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.37 / $386.51 / $566.41	Professional		$306.37	$386.51	$566.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,085.16 / $3,851.83	Facility		$606.69	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.47 / $421.37 / $785.70	Professional		$295.47	$421.37	$785.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $538.89 / $662.15 / $74,999.25	Facility		$538.89	$662.15	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.80 / $174.74 / $220.05	Facility		$161.80	$174.74	$220.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.77 / $429.18 / $776.31	Professional		$292.77	$429.18	$776.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.52 / $479.00 / $2,505.69	Professional		$352.52	$479.00	$2,505.69
United Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $1,550.00 / $2,506.00	Facility		$110.00	$1,550.00	$2,506.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.68 / $400.16 / $713.56	Professional		$300.68	$400.16	$713.56