Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.77 / $581.35 / $1,023.78	Facility		$214.77	$581.35	$1,023.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.77 / $258.37 / $310.04	Professional		$214.77	$258.37	$310.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.10 / $411.32 / $1,117.44	Facility		$233.10	$411.32	$1,117.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $159.49 / $517.19	Professional		$119.61	$159.49	$517.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $259.23 / $322.95 / $516.74	Facility		$259.23	$322.95	$516.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.95 / $710.51 / $995.79	Facility		$287.95	$710.51	$995.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.36 / $393.59 / $491.99	Professional		$199.36	$393.59	$491.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.91 / $419.85 / $569.36	Professional		$352.91	$419.85	$569.36
United Facility/Professional Professional Modifier Low / Median / High Price $172.75 / $246.29 / $596.41	Professional		$172.75	$246.29	$596.41