Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.54 / $2,987.00 / $6,915.00	Facility		$129.54	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.65 / $129.54 / $281.58	Professional		$99.65	$129.54	$281.58
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 $109.02 / $164.58 / $292.64	Professional		$109.02	$164.58	$292.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.75 / $199.61 / $306.54	Facility		$180.75	$199.61	$306.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $63.34 / $63.34	Facility		$63.34	$63.34	$63.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $189.97 / $306.11	Professional		$119.71	$189.97	$306.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $146.13 / $203.35	Professional		$108.89	$146.13	$203.35
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 $127.99 / $185.88 / $303.05	Professional		$127.99	$185.88	$303.05