Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.61 / $3,391.00 / $6,915.00	Facility		$186.61	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $134.01 / $335.62	Professional		$113.30	$134.01	$335.62
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 $112.34 / $167.30 / $321.30	Professional		$112.34	$167.30	$321.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.63 / $233.27 / $358.23	Facility		$213.63	$233.27	$358.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.08 / $399.08 / $399.08	Facility		$399.08	$399.08	$399.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $189.05 / $326.51	Professional		$134.49	$189.05	$326.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $145.47 / $230.61	Professional		$111.90	$145.47	$230.61
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $179.90 / $305.29	Professional		$121.16	$179.90	$305.29