Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.18 / $4,342.00 / $6,915.00	Facility		$180.18	$4,342.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,680.00 / $1,680.00 / $1,680.00	Facility	50	$1,680.00	$1,680.00	$1,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $187.79 / $422.09	Professional		$111.30	$187.79	$422.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $500.00 / $924.78 / $924.78	Professional	50	$500.00	$924.78	$924.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,098.00 / $3,851.83	Facility		$759.49	$2,098.00	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $226.65 / $392.01	Professional		$133.96	$226.65	$392.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $200.94 / $339.97 / $588.02	Professional	50	$200.94	$339.97	$588.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.76 / $242.03 / $371.69	Facility		$227.76	$242.03	$371.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.80 / $156.80 / $156.80	Facility		$156.80	$156.80	$156.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.11 / $259.37 / $449.60	Professional		$140.11	$259.37	$449.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.34 / $201.68 / $368.47	Professional		$119.34	$201.68	$368.47
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 $191.34 / $266.32 / $466.66	Professional		$191.34	$266.32	$466.66