Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $5,063.00 / $7,631.00	Facility		$98.80	$5,063.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $97.48 / $120.00	Professional		$75.15	$97.48	$120.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.76 / $109.37 / $129.15	Facility		$72.76	$109.37	$129.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $89.17 / $160.66	Professional		$50.70	$89.17	$160.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.15 / $219.18 / $298.14	Facility		$182.15	$219.18	$298.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.68 / $118.68 / $2,500.00	Facility		$118.68	$118.68	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $495.79 / $502.64	Professional		$166.68	$495.79	$502.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $158.76 / $452.96	Professional		$119.07	$158.76	$452.96
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 $86.37 / $137.71 / $253.27	Professional		$86.37	$137.71	$253.27