Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $3,391.00 / $6,915.00	Facility		$129.72	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $126.99 / $280.91	Professional		$94.33	$126.99	$280.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $311.56 / $311.56 / $311.56	Professional	52	$311.56	$311.56	$311.56
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 $112.37 / $156.47 / $300.32	Professional		$112.37	$156.47	$300.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $128.99 / $128.99	Facility		$128.99	$128.99	$128.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.81 / $187.40 / $2,500.00	Facility		$114.81	$187.40	$2,500.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.64 / $170.10 / $314.50	Professional		$114.64	$170.10	$314.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.84 / $184.32 / $679.00	Professional		$134.84	$184.32	$679.00
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $113.73 / $113.73 / $132.34	Professional	52	$113.73	$113.73	$132.34
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 $105.58 / $158.38 / $316.44	Professional		$105.58	$158.38	$316.44