Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.57 / $3,911.00 / $6,900.00	Facility		$369.57	$3,911.00	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $246.90 / $768.35	Professional		$72.06	$246.90	$768.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $293.64 / $767.44	Professional		$91.74	$293.64	$767.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.74 / $154.28 / $200.28	Facility		$144.74	$154.28	$200.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $359.67 / $1,039.07	Professional		$93.42	$359.67	$1,039.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $373.76 / $1,648.00	Professional		$88.90	$373.76	$1,648.00
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.32 / $620.60 / $957.86	Professional		$416.32	$620.60	$957.86