Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.30 / $3,391.00 / $6,915.00	Facility		$276.30	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $217.86 / $346.75	Professional		$97.21	$217.86	$346.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $150.66 / $312.31	Professional		$105.51	$150.66	$312.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $384.25 / $384.25 / $384.25	Facility		$384.25	$384.25	$384.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.85 / $180.85 / $860.00	Facility		$180.85	$180.85	$860.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $248.51 / $552.64	Professional		$121.28	$248.51	$552.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.69 / $305.08 / $1,999.00	Professional		$124.69	$305.08	$1,999.00
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.88 / $334.23 / $560.49	Professional		$216.88	$334.23	$560.49