Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $3,460.00 / $6,915.00	Facility		$1,202.00	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $173.70 / $204.25	Professional		$134.00	$173.70	$204.25
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 $73.95 / $158.29 / $287.10	Professional		$73.95	$158.29	$287.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.49 / $392.82 / $534.36	Facility		$326.49	$392.82	$534.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $213.02 / $657.54	Facility		$213.02	$213.02	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.18 / $888.71 / $898.20	Professional		$299.18	$888.71	$898.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.43 / $284.58 / $809.43	Professional		$213.43	$284.58	$809.43
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 $150.25 / $242.06 / $411.37	Professional		$150.25	$242.06	$411.37