Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.13 / $461.62 / $8,085.00	Facility		$338.13	$461.62	$8,085.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $461.62 / $543.08	Professional		$461.62	$461.62	$543.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.72 / $527.47 / $1,760.57	Facility		$479.72	$527.47	$1,760.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.05 / $452.57 / $452.57	Professional		$362.05	$452.57	$452.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $461.62 / $475.20 / $931.38	Facility		$461.62	$475.20	$931.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Facility		$506.88	$506.88	$506.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Professional		$506.88	$506.88	$506.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $248.46 / $368.50	Professional		$143.34	$248.46	$368.50
United Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $543.08 / $565.71	Professional		$452.57	$543.08	$565.71