Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.90 / $3,391.00 / $6,915.00	Facility		$223.90	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $154.13 / $328.51	Professional		$121.68	$154.13	$328.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,476.23 / $5,240.56	Facility		$775.91	$2,476.23	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.24 / $188.57 / $362.70	Professional		$123.24	$188.57	$362.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.55 / $256.11 / $393.32	Facility		$233.55	$256.11	$393.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.69 / $894.69 / $894.69	Facility		$894.69	$894.69	$894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $210.58 / $370.99	Professional		$147.53	$210.58	$370.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.35 / $159.06 / $407.46	Professional		$122.35	$159.06	$407.46
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 $130.88 / $200.35 / $300.27	Professional		$130.88	$200.35	$300.27