Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.58 / $220.23 / $363.91	Facility		$137.58	$220.23	$363.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $212.62 / $398.12	Professional		$126.69	$212.62	$398.12
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 $137.57 / $203.75 / $356.98	Professional		$137.57	$203.75	$356.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.58 / $296.58 / $296.58	Facility		$296.58	$296.58	$296.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.09 / $234.64 / $2,500.00	Facility		$196.09	$234.64	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $262.06 / $481.43	Professional		$151.78	$262.06	$481.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.84 / $276.25 / $572.01	Professional		$165.84	$276.25	$572.01
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 $176.76 / $275.43 / $515.84	Professional		$176.76	$275.43	$515.84