Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.09 / $426.09 / $1,149.95	Facility		$426.09	$426.09	$1,149.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.44 / $512.58 / $608.69	Professional		$384.44	$512.58	$608.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.28 / $695.78 / $821.63	Facility		$345.28	$695.78	$821.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $208.00 / $784.25	Professional		$156.00	$208.00	$784.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.47 / $897.02 / $1,377.12	Facility		$416.47	$897.02	$1,377.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $638.86 / $1,409.61 / $1,409.61	Facility		$638.86	$1,409.61	$1,409.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.38 / $780.98 / $976.23	Professional		$736.38	$780.98	$976.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $736.84 / $965.32 / $1,562.00	Professional		$736.84	$965.32	$1,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $384.44 / $1,121.59	Professional		$269.11	$384.44	$1,121.59