Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $2,760.00 / $6,915.00	Facility		$178.20	$2,760.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.81 / $186.41 / $407.98	Professional		$113.81	$186.41	$407.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $171.76 / $316.73	Professional		$123.63	$171.76	$316.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.00 / $251.39 / $386.07	Facility		$236.00	$251.39	$386.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.68 / $155.68 / $155.68	Facility		$155.68	$155.68	$155.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $248.73 / $435.74	Professional		$140.69	$248.73	$435.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $206.33 / $269.00	Professional		$123.63	$206.33	$269.00
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $250.84 / $407.08	Professional		$187.08	$250.84	$407.08