Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.26 / $4,590.00 / $6,915.00	Facility		$190.26	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $276.18 / $481.32	Professional		$163.41	$276.18	$481.32
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 $187.44 / $277.30 / $484.95	Professional		$187.44	$277.30	$484.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.51 / $371.51 / $371.51	Facility		$371.51	$371.51	$371.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.09 / $319.37 / $2,500.00	Facility		$196.09	$319.37	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.45 / $335.56 / $632.00	Professional		$209.45	$335.56	$632.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.73 / $389.00 / $806.85	Professional		$225.73	$389.00	$806.85
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 $257.55 / $368.24 / $727.34	Professional		$257.55	$368.24	$727.34