Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.93 / $2,987.00 / $6,915.00	Facility		$250.93	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.85 / $240.12 / $444.17	Professional		$145.85	$240.12	$444.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.01 / $230.12 / $410.06	Professional		$158.01	$230.12	$410.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $337.59 / $337.59 / $337.59	Facility		$337.59	$337.59	$337.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.09 / $269.43 / $2,500.00	Facility		$196.09	$269.43	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.89 / $296.52 / $537.40	Professional		$178.89	$296.52	$537.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.45 / $305.37 / $631.63	Professional		$190.45	$305.37	$631.63
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 $208.76 / $313.13 / $570.13	Professional		$208.76	$313.13	$570.13