Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.48 / $3,826.00 / $6,915.00	Facility		$199.48	$3,826.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $200.58 / $389.43	Professional		$119.71	$200.58	$389.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $237.52 / $415.23	Professional		$143.38	$237.52	$415.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.41 / $255.47 / $392.33	Facility		$240.41	$255.47	$392.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.54 / $196.54 / $196.54	Facility		$196.54	$196.54	$196.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $270.79 / $493.58	Professional		$149.44	$270.79	$493.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $214.60 / $282.97	Professional		$126.98	$214.60	$282.97
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 $208.65 / $297.82 / $448.58	Professional		$208.65	$297.82	$448.58