Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.75 / $100.64 / $167.63	Facility		$70.75	$100.64	$167.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $95.41 / $171.10	Professional		$62.06	$95.41	$171.10
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 $68.34 / $101.93 / $176.83	Professional		$68.34	$101.93	$176.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $143.83 / $143.83	Facility		$143.83	$143.83	$143.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.55 / $116.71 / $2,500.00	Facility		$76.55	$116.71	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $124.58 / $218.53	Professional		$76.48	$124.58	$218.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $121.37 / $247.21	Professional		$81.36	$121.37	$247.21
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 $86.39 / $129.32 / $225.22	Professional		$86.39	$129.32	$225.22