Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.16 / $5,063.00 / $7,631.00	Facility		$97.16	$5,063.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $95.85 / $120.00	Professional		$73.95	$95.85	$120.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.03 / $108.26 / $127.85	Facility		$72.03	$108.26	$127.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $88.20 / $158.37	Professional		$49.80	$88.20	$158.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.82 / $216.36 / $294.32	Facility		$179.82	$216.36	$294.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.94 / $117.94 / $2,500.00	Facility		$117.94	$117.94	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $489.57 / $497.22	Professional		$165.63	$489.57	$497.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $156.79 / $448.07	Professional		$117.59	$156.79	$448.07
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.47 / $136.10 / $250.34	Professional		$84.47	$136.10	$250.34