Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.16 / $4,338.00 / $6,915.00	Facility		$208.16	$4,338.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.01 / $255.50 / $447.03	Professional		$151.01	$255.50	$447.03
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 $172.89 / $247.23 / $438.58	Professional		$172.89	$247.23	$438.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.72 / $314.72 / $314.72	Facility		$314.72	$314.72	$314.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.09 / $295.49 / $2,500.00	Facility		$196.09	$295.49	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.38 / $298.86 / $582.91	Professional		$179.38	$298.86	$582.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.97 / $354.30 / $753.84	Professional		$208.97	$354.30	$753.84
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 $231.71 / $327.12 / $678.25	Professional		$231.71	$327.12	$678.25