Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.60 / $4,590.00 / $6,915.00	Facility		$145.60	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $234.96 / $390.78	Professional		$131.72	$234.96	$390.78
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 $143.77 / $210.24 / $386.72	Professional		$143.77	$210.24	$386.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.50 / $333.50 / $333.50	Facility		$333.50	$333.50	$333.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.09 / $244.48 / $2,500.00	Facility		$196.09	$244.48	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.53 / $276.04 / $560.34	Professional		$156.53	$276.04	$560.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.18 / $317.79 / $661.53	Professional		$173.18	$317.79	$661.53
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 $203.29 / $315.63 / $601.02	Professional		$203.29	$315.63	$601.02