Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.27 / $4,590.00 / $6,915.00	Facility		$198.27	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.14 / $306.39 / $539.29	Professional		$174.14	$306.39	$539.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.76 / $282.45 / $487.33	Professional		$201.76	$282.45	$487.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.88 / $356.88 / $356.88	Facility		$356.88	$356.88	$356.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.09 / $336.83 / $640.00	Facility		$196.09	$336.83	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.48 / $369.65 / $725.48	Professional		$200.48	$369.65	$725.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.96 / $439.53 / $912.64	Professional		$240.96	$439.53	$912.64
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 $262.27 / $387.43 / $829.16	Professional		$262.27	$387.43	$829.16