Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $340.42 / $340.42	Facility		$340.42	$340.42	$340.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.42 / $406.80 / $568.50	Professional		$340.42	$406.80	$568.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $556.14 / $1,327.69	Professional		$63.83	$556.14	$1,327.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $91.69 / $619.65	Facility		$61.97	$91.69	$619.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $63.69 / $63.69	Professional		$63.69	$63.69	$63.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.59 / $356.59 / $484.57	Facility		$356.59	$356.59	$484.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $356.59 / $862.50	Professional		$58.89	$356.59	$862.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $743.44 / $3,872.00	Professional		$125.83	$743.44	$3,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.01 / $428.61 / $760.67	Professional		$297.01	$428.61	$760.67