Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $2,187.76	Facility		$851.14	$851.14	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,584.89	Professional		$676.08	$851.14	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,265.80 / $6,606.93	Facility		$1,819.70	$4,265.80	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $2,238.72	Professional		$831.76	$1,479.11	$2,238.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,511.89	Facility		$891.25	$891.25	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,621.81	Professional		$645.65	$645.65	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $2,454.71	Professional		$1,023.29	$1,819.70	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $676.08 / $933.25	Facility		$426.58	$676.08	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,584.89	Professional		$575.44	$851.14	$1,584.89