Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.87 / $3,258.00 / $6,915.00	Facility		$118.87	$3,258.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $130.75 / $249.88	Professional		$78.06	$130.75	$249.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $3,839.45 / $8,545.91	Facility		$1,195.63	$3,839.45	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $157.22 / $290.50	Professional		$96.43	$157.22	$290.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.02 / $188.10 / $288.87	Facility		$177.02	$188.10	$288.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.32 / $2,811.32 / $2,811.32	Facility		$2,811.32	$2,811.32	$2,811.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $154.35 / $296.45	Professional		$97.60	$154.35	$296.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $161.25 / $219.89	Professional		$102.00	$161.25	$219.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $162.05 / $301.24	Professional		$108.27	$162.05	$301.24