Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.85 / $3,295.00 / $6,915.00	Facility		$214.85	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $203.19 / $374.27	Professional		$150.88	$203.19	$374.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,085.16 / $3,851.83	Facility		$746.52	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.81 / $230.44 / $426.56	Professional		$162.81	$230.44	$426.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.41 / $360.12 / $489.87	Facility		$291.41	$360.12	$489.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.14 / $286.14 / $860.00	Facility		$286.14	$286.14	$860.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $261.95 / $440.03	Professional		$159.60	$261.95	$440.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.15 / $282.20 / $538.11	Professional		$205.15	$282.20	$538.11
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.59 / $249.74 / $491.21	Professional		$166.59	$249.74	$491.21