Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.07 / $2,800.00 / $6,915.00	Facility		$212.07	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $202.08 / $323.55	Professional		$130.72	$202.08	$323.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,262.42 / $5,084.83	Facility		$606.69	$2,262.42	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $170.90 / $318.33	Professional		$128.36	$170.90	$318.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.68 / $267.80 / $74,999.25	Facility		$219.68	$267.80	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $1,325.29 / $1,668.88	Facility		$411.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $227.39 / $438.77	Professional		$137.97	$227.39	$438.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $245.34 / $1,019.04	Professional		$146.19	$245.34	$1,019.04
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $3,100.00 / $5,272.00	Facility		$510.00	$3,100.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.07 / $237.42 / $420.20	Professional		$178.07	$237.42	$420.20