Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.85 / $3,460.00 / $6,915.00	Facility		$276.85	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.91 / $265.26 / $491.65	Professional		$163.91	$265.26	$491.65
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 $177.60 / $256.81 / $457.69	Professional		$177.60	$256.81	$457.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $370.74 / $370.74 / $370.74	Facility		$370.74	$370.74	$370.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.09 / $302.51 / $2,500.00	Facility		$196.09	$302.51	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.94 / $328.43 / $597.94	Professional		$198.94	$328.43	$597.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.67 / $337.95 / $698.01	Professional		$213.67	$337.95	$698.01
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 $235.24 / $357.03 / $682.94	Professional		$235.24	$357.03	$682.94