Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.21 / $3,391.00 / $6,915.00	Facility		$208.21	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $105.18 / $227.44	Professional		$87.95	$105.18	$227.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,322.50 / $5,240.56	Facility		$775.91	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $141.41 / $241.91	Professional		$94.87	$141.41	$241.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $190.38 / $292.38	Facility		$178.20	$190.38	$292.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.69 / $894.69 / $894.69	Facility		$894.69	$894.69	$894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $160.63 / $252.29	Professional		$109.44	$160.63	$252.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $121.36 / $205.71	Professional		$93.35	$121.36	$205.71
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 $99.02 / $142.77 / $220.21	Professional		$99.02	$142.77	$220.21