Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.72 / $2,987.00 / $6,915.00	Facility		$153.72	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $203.18 / $387.55	Professional		$85.67	$203.18	$387.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,557.00 / $5,240.56	Facility		$775.91	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $130.63 / $256.55	Professional		$95.03	$130.63	$256.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.35 / $199.29 / $74,999.25	Facility		$162.35	$199.29	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.87 / $239.84 / $411.00	Facility		$191.87	$239.84	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.85 / $230.99 / $530.44	Professional		$100.85	$230.99	$530.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $287.25 / $763.04	Professional		$108.80	$287.25	$763.04
United Facility/Professional Facility Modifier Low / Median / High Price $567.00 / $3,100.00 / $5,352.00	Facility		$567.00	$3,100.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.94 / $292.95 / $505.06	Professional		$218.94	$292.95	$505.06