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 $75.20 / $88.97 / $149.50	Professional		$75.20	$88.97	$149.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $82.05 / $151.01	Professional		$43.41	$82.05	$151.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.65 / $200.54 / $272.79	Facility		$166.65	$200.54	$272.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.95 / $108.95 / $2,500.00	Facility		$108.95	$108.95	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.01 / $453.71 / $458.00	Professional		$153.01	$453.71	$458.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $145.29 / $412.73	Professional		$108.97	$145.29	$412.73
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 $77.89 / $125.48 / $204.53	Professional		$77.89	$125.48	$204.53