Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $63.02 / $1,056.00	Facility		$33.83	$63.02	$1,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $60.29 / $96.28	Professional		$31.17	$60.29	$96.28
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 $32.79 / $52.39 / $91.02	Professional		$32.79	$52.39	$91.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.61 / $91.61 / $91.61	Facility		$91.61	$91.61	$91.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $56.58 / $2,500.00	Facility		$56.58	$56.58	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $70.98 / $137.97	Professional		$39.74	$70.98	$137.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $78.45 / $161.86	Professional		$39.28	$78.45	$161.86
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,550.00 / $2,665.00	Facility		$384.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $82.90 / $144.91	Professional		$54.31	$82.90	$144.91