Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.77 / $594.91 / $1,023.78	Facility		$214.77	$594.91	$1,023.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $258.37 / $306.81	Professional		$193.78	$258.37	$306.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $322.95 / $983.93	Facility		$12.50	$322.95	$983.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.95 / $290.66	Professional		$4.46	$5.95	$290.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.20 / $322.95 / $516.74	Facility		$222.20	$322.95	$516.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.84 / $710.51 / $896.21	Facility		$419.84	$710.51	$896.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.87 / $393.59 / $491.99	Professional		$370.87	$393.59	$491.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.26 / $371.40 / $419.85	Professional		$355.26	$371.40	$419.85
United Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $215.31 / $366.06	Professional		$150.72	$215.31	$366.06