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 $53.66 / $65.75 / $71.15	Professional		$53.66	$65.75	$71.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.35 / $2,490.09 / $4,221.47	Facility		$794.35	$2,490.09	$4,221.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.64 / $165.84	Professional		$69.18	$72.64	$165.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.16 / $173.88 / $267.02	Facility		$161.16	$173.88	$267.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.08 / $399.08 / $399.08	Facility		$399.08	$399.08	$399.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.13 / $480.16 / $676.22	Professional		$400.13	$480.16	$676.22
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $68.79 / $131.22	Professional		$45.75	$68.79	$131.22