Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.81 / $4,592.00 / $6,915.00	Facility		$48.81	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $93.01 / $198.14	Professional		$43.35	$93.01	$198.14
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 $45.59 / $71.44 / $129.90	Professional		$45.59	$71.44	$129.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.92 / $60.35 / $66.81	Facility		$44.92	$60.35	$66.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $112.86 / $194.16	Professional		$111.85	$112.86	$194.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $79.27 / $79.27	Facility		$79.27	$79.27	$79.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $116.95 / $239.29	Professional		$63.48	$116.95	$239.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $91.68 / $152.02	Professional		$44.92	$91.68	$152.02
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $139.50 / $214.22	Professional		$100.12	$139.50	$214.22