Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.64 / $2,950.00 / $6,915.00	Facility		$216.64	$2,950.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $216.64 / $460.20	Professional		$128.63	$216.64	$460.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,098.00 / $3,851.83	Facility		$759.49	$2,098.00	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.86 / $245.66 / $425.36	Professional		$154.86	$245.66	$425.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $157.05 / $173.88	Facility		$117.66	$157.05	$173.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $233.95 / $236.06 / $409.06	Professional		$233.95	$236.06	$409.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.63 / $153.63 / $153.63	Facility		$153.63	$153.63	$153.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.74 / $273.57 / $449.42	Professional		$158.74	$273.57	$449.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.43 / $210.31 / $422.95	Professional		$129.43	$210.31	$422.95
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 $196.77 / $289.04 / $484.98	Professional		$196.77	$289.04	$484.98