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 $73.81 / $87.54 / $143.84	Professional		$73.81	$87.54	$143.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $80.98 / $151.68	Professional		$42.52	$80.98	$151.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.37 / $192.96 / $262.49	Facility		$160.37	$192.96	$262.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $104.83 / $2,500.00	Facility		$104.83	$104.83	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $436.55 / $450.98	Professional		$147.22	$436.55	$450.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $139.79 / $406.41	Professional		$104.84	$139.79	$406.41
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 $76.88 / $122.75 / $226.80	Professional		$76.88	$122.75	$226.80