Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.95 / $313.95 / $313.95	Facility		$313.95	$313.95	$313.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.95 / $381.72 / $568.50	Professional		$313.95	$381.72	$568.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $483.50 / $1,222.45	Professional		$57.92	$483.50	$1,222.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.75 / $82.21 / $665.55	Facility		$60.75	$82.21	$665.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $61.39 / $61.39	Professional		$61.39	$61.39	$61.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $255.74	Facility		$255.74	$255.74	$255.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $255.74 / $840.00	Professional		$56.76	$255.74	$840.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $522.24 / $1,549.00	Professional		$107.70	$522.24	$1,549.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.19 / $359.06 / $648.37	Professional		$209.19	$359.06	$648.37