Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $3,360.00 / $6,915.00	Facility		$207.13	$3,360.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $218.72 / $448.23	Professional		$147.22	$218.72	$448.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,557.00 / $5,240.56	Facility		$964.00	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.27 / $229.00 / $408.00	Professional		$161.27	$229.00	$408.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.73 / $326.81 / $501.87	Facility		$304.73	$326.81	$501.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.70 / $166.70 / $166.70	Facility		$166.70	$166.70	$166.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.09 / $302.29 / $518.48	Professional		$186.09	$302.29	$518.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $245.51 / $361.30	Professional		$159.63	$245.51	$361.30
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.23 / $280.87 / $467.56	Professional		$219.23	$280.87	$467.56