Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $82.63 / $139.21	Facility		$44.60	$82.63	$139.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $76.11 / $127.33	Professional		$39.82	$76.11	$127.33
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 $43.43 / $67.23 / $119.45	Professional		$43.43	$67.23	$119.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $115.26 / $115.26	Facility		$115.26	$115.26	$115.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $74.72 / $2,500.00	Facility		$74.72	$74.72	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $92.02 / $186.29	Professional		$50.53	$92.02	$186.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $105.45 / $218.38	Professional		$52.31	$105.45	$218.38
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 $71.93 / $108.42 / $196.97	Professional		$71.93	$108.42	$196.97