Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.11 / $319.11 / $319.11	Facility		$319.11	$319.11	$319.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $319.11 / $366.98	Professional		$307.58	$319.11	$366.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.39 / $347.62 / $347.62	Facility		$320.39	$347.62	$347.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $346.02 / $365.25	Professional		$320.39	$346.02	$365.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $336.41 / $470.98	Facility		$326.80	$336.41	$470.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Facility		$326.80	$326.80	$326.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Professional		$326.80	$326.80	$326.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $490.20	Professional		$326.80	$326.80	$490.20
United Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $384.47	Professional		$320.39	$320.39	$384.47