Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.57 / $2,678.00 / $6,915.00	Facility		$253.57	$2,678.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.58 / $262.69 / $509.85	Professional		$142.58	$262.69	$509.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.85 / $221.94 / $425.75	Professional		$142.85	$221.94	$425.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $710.47 / $710.47 / $710.47	Facility		$710.47	$710.47	$710.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.12 / $5,845.00 / $9,852.00	Facility		$243.12	$5,845.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $312.80 / $619.74	Professional		$172.22	$312.80	$619.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.85 / $279.93 / $730.07	Professional		$174.85	$279.93	$730.07
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 $219.60 / $406.48 / $637.39	Professional		$219.60	$406.48	$637.39