Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.69 / $5,063.00 / $7,631.00	Facility		$186.69	$5,063.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.08 / $184.17 / $216.58	Professional		$142.08	$184.17	$216.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.14 / $2,304.54 / $4,221.47	Facility		$776.14	$2,304.54	$4,221.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $177.42 / $303.45	Professional		$87.59	$177.42	$303.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.43 / $434.87 / $591.54	Facility		$361.43	$434.87	$591.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.22 / $236.22 / $657.54	Facility		$236.22	$236.22	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.78 / $983.81 / $1,003.47	Professional		$331.78	$983.81	$1,003.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.28 / $315.04 / $904.29	Professional		$236.28	$315.04	$904.29
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.94 / $268.70 / $475.24	Professional		$167.94	$268.70	$475.24