Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $129.57 / $222.95	Facility		$84.35	$129.57	$222.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $120.43 / $220.09	Professional		$75.79	$120.43	$220.09
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 $81.59 / $121.86 / $211.57	Professional		$81.59	$121.86	$211.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $171.93 / $261.02	Facility		$144.47	$171.93	$261.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.90 / $140.37 / $2,500.00	Facility		$97.90	$140.37	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.95 / $150.47 / $266.83	Professional		$94.95	$150.47	$266.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $151.28 / $308.63	Professional		$97.94	$151.28	$308.63
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 $106.61 / $159.29 / $278.75	Professional		$106.61	$159.29	$278.75