Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $523.00 / $6,915.00	Facility		$73.98	$523.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $84.44 / $180.65	Professional		$47.66	$84.44	$180.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $247.01 / $247.01 / $247.01	Professional	50	$247.01	$247.01	$247.01
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 $62.63 / $103.26 / $196.43	Professional		$62.63	$103.26	$196.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.94 / $154.88 / $294.64	Professional	50	$93.94	$154.88	$294.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.25 / $105.63 / $162.22	Facility		$97.25	$105.63	$162.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $118.48 / $208.87	Professional		$65.58	$118.48	$208.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $86.09 / $173.65	Professional		$50.94	$86.09	$173.65
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,550.00 / $2,665.00	Facility		$384.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $145.35 / $205.23	Professional		$81.09	$145.35	$205.23