Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.27 / $3,043.00 / $6,915.00	Facility		$257.27	$3,043.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $246.90 / $447.13	Professional		$154.11	$246.90	$447.13
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 $161.22 / $237.76 / $436.05	Professional		$161.22	$237.76	$436.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.24 / $337.62 / $504.53	Facility		$279.24	$337.62	$504.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.29 / $273.77 / $640.00	Facility		$224.29	$273.77	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.01 / $304.02 / $552.58	Professional		$185.01	$304.02	$552.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.34 / $296.10 / $610.76	Professional		$192.34	$296.10	$610.76
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $329.44 / $568.54	Professional		$221.16	$329.44	$568.54