Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.20 / $414.20 / $414.20	Facility		$414.20	$414.20	$414.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.20 / $512.10 / $753.75	Professional		$414.20	$512.10	$753.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $620.10 / $1,607.30	Professional		$88.98	$620.10	$1,607.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.82 / $125.35 / $845.83	Facility		$62.82	$125.35	$845.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $64.69 / $64.69	Professional		$64.69	$64.69	$64.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $578.29 / $745.56	Facility		$578.29	$578.29	$745.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $578.29 / $866.25	Professional		$59.82	$578.29	$866.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $756.03 / $2,904.00	Professional		$213.28	$756.03	$2,904.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $107.52 / $1,207.51	Professional		$39.24	$107.52	$1,207.51