Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.16 / $4,852.00 / $7,391.00	Facility		$209.16	$4,852.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $226.46 / $586.87	Professional		$115.62	$226.46	$586.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,162.53 / $2,827.85 / $5,240.56	Facility		$1,162.53	$2,827.85	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $296.54 / $984.93	Professional		$156.62	$296.54	$984.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $234.93 / $444.82 / $1,480.45	Professional	50	$234.93	$444.82	$1,480.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.60 / $254.09 / $390.20	Facility		$233.60	$254.09	$390.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $181.00 / $181.00	Facility		$181.00	$181.00	$181.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.39 / $316.02 / $994.63	Professional		$166.39	$316.02	$994.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $220.08 / $2,237.50	Professional		$122.36	$220.08	$2,237.50
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 $218.03 / $410.81 / $994.63	Professional		$218.03	$410.81	$994.63