Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,348.96	Professional		$812.83	$1,047.13	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $812.83 / $2,137.96	Professional		$102.33	$812.83	$2,137.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $2,041.74	Facility		$151.36	$151.36	$2,041.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $398.11 / $2,089.30	Professional		$147.91	$398.11	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,905.46 / $4,570.88	Professional		$204.17	$1,905.46	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $537.03 / $1,071.52	Facility		$81.28	$537.03	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,348.96	Professional		$537.03	$812.83	$1,348.96