Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.58 / $4,590.00 / $6,915.00	Facility		$183.58	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $279.02 / $494.71	Professional		$162.10	$279.02	$494.71
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 $179.93 / $261.36 / $451.43	Professional		$179.93	$261.36	$451.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $339.50 / $339.50 / $339.50	Facility		$339.50	$339.50	$339.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.09 / $306.83 / $2,500.00	Facility		$196.09	$306.83	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $334.28 / $598.78	Professional		$190.83	$334.28	$598.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.44 / $363.00 / $750.87	Professional		$216.44	$363.00	$750.87
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 $236.96 / $349.49 / $677.94	Professional		$236.96	$349.49	$677.94