Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.29 / $3,391.00 / $6,915.00	Facility		$130.29	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $90.91 / $201.72	Professional		$71.84	$90.91	$201.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.14 / $2,795.56 / $6,315.83	Facility		$776.14	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $108.15 / $212.19	Professional		$73.29	$108.15	$212.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $152.19 / $233.72	Facility		$139.44	$152.19	$233.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.23 / $1,518.23 / $1,518.23	Facility		$1,518.23	$1,518.23	$1,518.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $125.93 / $208.08	Professional		$85.64	$125.93	$208.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $94.95 / $250.20	Professional		$73.04	$94.95	$250.20
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $109.01 / $171.72	Professional		$77.16	$109.01	$171.72