Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.39 / $2,404.00 / $6,915.00	Facility		$123.39	$2,404.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $123.39 / $261.14	Professional		$56.11	$123.39	$261.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,476.23 / $5,240.56	Facility		$775.91	$2,476.23	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $136.36 / $262.49	Professional		$72.00	$136.36	$262.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.87 / $123.26 / $189.27	Facility		$114.87	$123.26	$189.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $116.45 / $116.45	Facility		$116.45	$116.45	$116.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $146.72 / $303.16	Professional		$77.45	$146.72	$303.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $123.05 / $216.52	Professional		$60.17	$123.05	$216.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.83 / $181.95 / $274.04	Professional		$127.83	$181.95	$274.04