Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.89 / $2,987.00 / $6,915.00	Facility		$92.89	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $158.88 / $328.41	Professional		$47.52	$158.88	$328.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $82.24 / $154.81	Professional		$50.64	$82.24	$154.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.93 / $106.14 / $253.37	Facility		$89.93	$106.14	$253.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.73 / $87.73 / $2,500.00	Facility		$87.73	$87.73	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $168.10 / $405.15	Professional		$62.04	$168.10	$405.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $233.86 / $542.47	Professional		$60.47	$233.86	$542.47
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 $160.94 / $242.32 / $468.43	Professional		$160.94	$242.32	$468.43