Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.32 / $4,592.00 / $7,518.47	Facility		$163.32	$4,592.00	$7,518.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $260.94 / $455.91	Professional		$150.97	$260.94	$455.91
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 $160.01 / $238.69 / $414.00	Professional		$160.01	$238.69	$414.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.34 / $342.34 / $342.34	Facility		$342.34	$342.34	$342.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.09 / $272.82 / $2,500.00	Facility		$196.09	$272.82	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.84 / $305.08 / $543.96	Professional		$182.84	$305.08	$543.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.83 / $337.92 / $701.30	Professional		$192.83	$337.92	$701.30
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 $223.47 / $330.89 / $632.92	Professional		$223.47	$330.89	$632.92