Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.01 / $4,590.00 / $6,915.00	Facility		$170.01	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.85 / $269.83 / $456.57	Professional		$152.85	$269.83	$456.57
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 $166.91 / $249.57 / $442.08	Professional		$166.91	$249.57	$442.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $378.26 / $378.26 / $378.26	Facility		$378.26	$378.26	$378.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.54 / $284.76 / $2,500.00	Facility		$116.54	$284.76	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.19 / $318.73 / $583.91	Professional		$187.19	$318.73	$583.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.40 / $355.39 / $738.20	Professional		$201.40	$355.39	$738.20
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 $245.72 / $361.51 / $730.48	Professional		$245.72	$361.51	$730.48