Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.09 / $4,592.00 / $6,915.00	Facility		$89.09	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $137.99 / $286.20	Professional		$57.97	$137.99	$286.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $94.29 / $168.74	Professional		$63.28	$94.29	$168.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.88 / $130.58 / $200.54	Facility		$121.88	$130.58	$200.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.02 / $134.02 / $134.02	Facility		$134.02	$134.02	$134.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $151.04 / $335.19	Professional		$82.46	$151.04	$335.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $138.02 / $193.23	Professional		$63.84	$138.02	$193.23
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 $142.65 / $184.91 / $305.75	Professional		$142.65	$184.91	$305.75