Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.82 / $3,820.63 / $6,915.00	Facility		$204.82	$3,820.63	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.33 / $212.88 / $436.26	Professional		$126.33	$212.88	$436.26
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 $151.46 / $256.63 / $449.40	Professional		$151.46	$256.63	$449.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $227.20 / $386.26 / $674.11	Professional	50	$227.20	$386.26	$674.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.27 / $271.26 / $416.58	Facility		$255.27	$271.26	$416.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $194.90 / $194.90	Facility		$194.90	$194.90	$194.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $281.99 / $506.11	Professional		$157.21	$281.99	$506.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $226.83 / $325.02	Professional		$134.22	$226.83	$325.02
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 $216.91 / $286.98 / $459.32	Professional		$216.91	$286.98	$459.32