Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $4,590.00 / $6,915.00	Facility		$73.73	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $79.72 / $151.16	Professional		$62.37	$79.72	$151.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,085.16 / $3,851.83	Facility		$606.69	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $86.00 / $155.99	Professional		$62.08	$86.00	$155.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.27 / $132.24 / $74,999.25	Facility		$111.27	$132.24	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $36.01 / $45.34	Facility		$33.34	$36.01	$45.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $111.58 / $184.92	Professional		$72.16	$111.58	$184.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $99.32 / $482.05	Professional		$72.20	$99.32	$482.05
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,550.00 / $2,665.00	Facility		$107.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $103.62 / $177.67	Professional		$70.90	$103.62	$177.67