Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.91 / $4,368.00 / $6,915.00	Facility		$201.91	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $141.41 / $280.75	Professional		$111.37	$141.41	$280.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $188.59 / $349.66	Professional		$130.37	$188.59	$349.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.33 / $190.33 / $190.33	Facility		$190.33	$190.33	$190.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $170.37 / $1,153.31	Facility		$170.37	$170.37	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.32 / $206.44 / $342.94	Professional		$133.32	$206.44	$342.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.27 / $226.73 / $374.67	Professional		$166.27	$226.73	$374.67
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 $115.20 / $176.19 / $326.92	Professional		$115.20	$176.19	$326.92