Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.58 / $2,960.00 / $6,915.00	Facility		$256.58	$2,960.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $252.53 / $428.03	Professional		$130.90	$252.53	$428.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,354.21 / $5,240.56	Facility		$869.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $171.59 / $316.25	Professional		$72.25	$171.59	$316.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.60 / $363.60 / $363.60	Facility		$363.60	$363.60	$363.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $101.84 / $904.41	Facility		$101.84	$101.84	$904.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $262.06 / $465.76	Professional		$121.85	$262.06	$465.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $178.27 / $432.33	Professional		$70.97	$178.27	$432.33
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 $230.77 / $339.21 / $568.04	Professional		$230.77	$339.21	$568.04