Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.02 / $3,391.00 / $6,915.00	Facility		$612.02	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $456.99 / $1,018.34	Professional		$151.97	$456.99	$1,018.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.92 / $459.90 / $1,182.03	Professional		$178.92	$459.90	$1,182.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.77 / $287.08 / $440.90	Facility		$256.77	$287.08	$440.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.54 / $437.36 / $1,200.33	Professional		$200.54	$437.36	$1,200.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.68 / $505.89 / $2,144.00	Professional		$154.68	$505.89	$2,144.00
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 $577.19 / $827.14 / $1,347.29	Professional		$577.19	$827.14	$1,347.29