Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $3,162.28	Facility		$630.96	$851.14	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $912.01	Professional		$630.96	$741.31	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,230.27	Facility		$676.08	$1,023.29	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,174.90	Professional		$338.84	$338.84	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,884.03	Facility		$1,479.11	$2,089.30	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,445.44	Professional		$1,096.48	$1,148.15	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,230.27	Professional		$1,047.13	$1,096.48	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $851.14 / $954.99	Facility		$524.81	$851.14	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,380.38	Professional		$398.11	$575.44	$1,380.38