Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.61 / $2,505.19 / $6,915.00	Facility		$27.61	$2,505.19	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $27.38 / $53.25	Professional		$12.66	$27.38	$53.25
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 $15.81 / $30.52 / $56.57	Professional		$15.81	$30.52	$56.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $23.71 / $45.78 / $84.85	Professional	50	$23.71	$45.78	$84.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $16.84 / $42.53	Facility		$13.73	$16.84	$42.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $35.29 / $37.39	Professional		$29.72	$35.29	$37.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $27.08 / $61.74	Professional		$13.67	$27.08	$61.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $35.29 / $53.90	Professional		$15.43	$35.29	$53.90
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $39.49 / $76.14	Professional		$26.85	$39.49	$76.14