Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.97 / $2,987.00 / $6,915.00	Facility		$274.97	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.67 / $272.16 / $422.74	Professional		$207.67	$272.16	$422.74
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 $212.42 / $286.99 / $526.80	Professional		$212.42	$286.99	$526.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.97 / $448.68 / $74,999.25	Facility		$371.97	$448.68	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.20 / $156.50 / $411.00	Facility		$125.20	$156.50	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.39 / $314.19 / $573.41	Professional		$201.39	$314.19	$573.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.95 / $340.80 / $1,680.89	Professional		$244.95	$340.80	$1,680.89
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $1,550.00 / $2,506.00	Facility		$123.00	$1,550.00	$2,506.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.60 / $299.32 / $539.36	Professional		$228.60	$299.32	$539.36