Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.95 / $125.85 / $207.97	Facility		$95.95	$125.85	$207.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $121.91 / $227.02	Professional		$85.99	$121.91	$227.02
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 $93.31 / $130.63 / $237.51	Professional		$93.31	$130.63	$237.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.76 / $174.76 / $174.76	Facility		$174.76	$174.76	$174.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.46 / $159.97 / $2,500.00	Facility		$101.46	$159.97	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $157.74 / $269.13	Professional		$96.54	$157.74	$269.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $163.47 / $311.70	Professional		$112.60	$163.47	$311.70
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 $103.39 / $159.57 / $282.35	Professional		$103.39	$159.57	$282.35