Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.66 / $5,045.00 / $6,915.00	Facility		$208.66	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.56 / $232.02 / $613.95	Professional		$181.56	$232.02	$613.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.98 / $313.08 / $568.15	Professional		$205.98	$313.08	$568.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.21 / $328.21 / $328.21	Facility		$328.21	$328.21	$328.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.11 / $234.11 / $2,500.00	Facility		$234.11	$234.11	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.24 / $336.55 / $625.42	Professional		$219.24	$336.55	$625.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.88 / $330.24 / $1,399.19	Professional		$236.88	$330.24	$1,399.19
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,685.00 / $3,213.00	Facility		$212.00	$1,685.00	$3,213.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.13 / $282.11 / $536.91	Professional		$183.13	$282.11	$536.91