Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.99 / $3,391.00 / $6,915.00	Facility		$269.99	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.26 / $201.47 / $525.17	Professional		$167.26	$201.47	$525.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.40 / $274.02 / $502.78	Professional		$177.40	$274.02	$502.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.79 / $399.98 / $563.00	Facility		$335.79	$399.98	$563.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.06 / $225.06 / $904.41	Facility		$225.06	$225.06	$904.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.67 / $289.29 / $507.82	Professional		$182.67	$289.29	$507.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.13 / $294.72 / $1,084.72	Professional		$216.13	$294.72	$1,084.72
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.11 / $240.80 / $446.30	Professional		$165.11	$240.80	$446.30