Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.35 / $3,018.00 / $6,915.00	Facility		$267.35	$3,018.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $248.91 / $447.91	Professional		$148.13	$248.91	$447.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $231.78 / $400.94	Professional		$154.97	$231.78	$400.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $351.47 / $351.47 / $351.47	Facility		$351.47	$351.47	$351.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.94 / $261.94 / $974.44	Facility		$261.94	$261.94	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.62 / $296.22 / $565.13	Professional		$179.62	$296.22	$565.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.04 / $308.26 / $638.39	Professional		$184.04	$308.26	$638.39
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 $216.21 / $333.11 / $596.46	Professional		$216.21	$333.11	$596.46