Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.81 / $3,295.00 / $6,900.00	Facility		$391.81	$3,295.00	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.99 / $395.19 / $855.07	Professional		$238.99	$395.19	$855.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $2,795.56 / $6,315.83	Facility		$989.09	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.95 / $359.73 / $650.07	Professional		$256.95	$359.73	$650.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $385.42 / $539.59 / $975.10	Professional	50	$385.42	$539.59	$975.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $479.36 / $509.37 / $782.25	Facility		$479.36	$509.37	$782.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.23 / $1,518.23 / $1,518.23	Facility		$1,518.23	$1,518.23	$1,518.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.44 / $509.45 / $923.51	Professional		$288.44	$509.45	$923.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.17 / $426.17 / $552.15	Professional		$252.17	$426.17	$552.15
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.67 / $531.19 / $872.88	Professional		$373.67	$531.19	$872.88