Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.27 / $3,295.00 / $6,915.00	Facility		$142.27	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $182.49 / $344.58	Professional		$80.39	$182.49	$344.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $137.63 / $272.04	Professional		$91.90	$137.63	$272.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.72 / $292.72 / $292.72	Facility		$292.72	$292.72	$292.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.31 / $159.31 / $640.00	Facility		$159.31	$159.31	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.99 / $205.46 / $421.15	Professional		$96.99	$205.46	$421.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.20 / $221.53 / $530.71	Professional		$117.20	$221.53	$530.71
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,300.00 / $4,066.00	Facility		$772.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $248.27 / $426.73	Professional		$160.13	$248.27	$426.73