Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $3,460.00 / $6,915.00	Facility		$32.22	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $34.82 / $72.39	Professional		$24.35	$34.82	$72.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,085.16 / $3,851.83	Facility		$746.52	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $38.25 / $70.45	Professional		$24.46	$38.25	$70.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.86 / $62.86 / $62.86	Facility		$62.86	$62.86	$62.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $41.73 / $860.00	Facility		$19.14	$41.73	$860.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $49.37 / $83.04	Professional		$27.31	$49.37	$83.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $41.51 / $90.27	Professional		$29.98	$41.51	$90.27
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $52.10 / $82.72	Professional		$29.44	$52.10	$82.72