Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.19 / $2,592.00 / $6,915.00	Facility		$178.19	$2,592.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,145.45 / $1,145.45 / $1,145.45	Facility	50	$1,145.45	$1,145.45	$1,145.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.45 / $189.78 / $343.05	Professional		$110.45	$189.78	$343.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $561.61 / $561.61 / $4,607.31	Professional	50	$561.61	$561.61	$4,607.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $153.38 / $265.44	Professional		$110.00	$153.38	$265.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.31 / $230.08 / $398.16	Professional	50	$165.31	$230.08	$398.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.66 / $220.67 / $338.88	Facility		$207.66	$220.67	$338.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.80 / $156.80 / $156.80	Facility		$156.80	$156.80	$156.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $229.21 / $429.77	Professional		$126.71	$229.21	$429.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $197.76 / $251.69	Professional		$120.07	$197.76	$251.69
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.42 / $255.64 / $471.49	Professional		$181.42	$255.64	$471.49