Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.93 / $3,043.00 / $6,915.00	Facility		$311.93	$3,043.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.42 / $210.57 / $439.67	Professional		$166.42	$210.57	$439.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.00 / $839.59 / $1,697.15	Facility		$434.00	$839.59	$1,697.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $281.08 / $519.16	Professional		$175.20	$281.08	$519.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.74 / $298.74 / $298.74	Facility		$298.74	$298.74	$298.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $202.08 / $2,500.00	Facility		$202.08	$202.08	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.95 / $299.74 / $534.39	Professional		$192.95	$299.74	$534.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.43 / $292.14 / $568.26	Professional		$199.43	$292.14	$568.26
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 $161.66 / $255.62 / $453.77	Professional		$161.66	$255.62	$453.77