Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $832.00 / $2,300.00	Facility		$425.00	$832.00	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $425.00 / $522.50	Professional		$113.09	$425.00	$522.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.62 / $931.81 / $1,313.50	Facility		$501.62	$931.81	$1,313.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $95.46 / $291.14	Professional		$92.14	$95.46	$291.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $40.33 / $106.92	Facility		$22.51	$40.33	$106.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $39.09 / $153.57	Professional		$39.09	$39.09	$153.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.74 / $177.66 / $939.00	Facility		$107.74	$177.66	$939.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $158.62 / $440.00	Professional		$82.27	$158.62	$440.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $148.49 / $794.09	Professional		$102.41	$148.49	$794.09