Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.51 / $2,987.00 / $6,915.00	Facility		$140.51	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $200.00 / $515.10	Professional		$82.45	$200.00	$515.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $433.29 / $653.00 / $653.00	Professional	50	$433.29	$653.00	$653.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $118.22 / $222.79	Professional		$77.09	$118.22	$222.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $115.65 / $177.33 / $334.18	Professional	50	$115.65	$177.33	$334.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.29 / $160.91 / $247.10	Facility		$145.29	$160.91	$247.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.13 / $88.13 / $88.13	Facility		$88.13	$88.13	$88.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.66 / $208.80 / $544.49	Professional		$105.66	$208.80	$544.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $239.00 / $327.78	Professional		$83.72	$239.00	$327.78
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,550.00 / $2,506.00	Facility		$384.00	$1,550.00	$2,506.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.46 / $298.60 / $556.29	Professional		$210.46	$298.60	$556.29