Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.55 / $4,590.00 / $6,915.00	Facility		$70.55	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $93.79 / $159.97	Professional		$62.02	$93.79	$159.97
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 $69.73 / $97.63 / $180.44	Professional		$69.73	$97.63	$180.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.28 / $134.28 / $134.28	Facility		$134.28	$134.28	$134.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $118.61 / $2,500.00	Facility		$91.67	$118.61	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $117.64 / $196.27	Professional		$69.80	$117.64	$196.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.83 / $122.43 / $252.31	Professional		$83.83	$122.43	$252.31
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 $80.43 / $122.63 / $229.24	Professional		$80.43	$122.63	$229.24