Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.79 / $382.79 / $382.79	Facility		$382.79	$382.79	$382.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.79 / $507.10 / $730.91	Professional		$382.79	$507.10	$730.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $642.11 / $1,490.21	Professional		$73.73	$642.11	$1,490.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.82 / $106.13 / $828.72	Facility		$62.82	$106.13	$828.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $64.44 / $64.44	Professional		$64.44	$64.44	$64.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $695.55	Facility		$568.02	$568.02	$695.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $568.02 / $866.25	Professional		$59.58	$568.02	$866.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $756.03 / $2,733.00	Professional		$177.02	$756.03	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.72 / $590.04 / $1,065.25	Professional		$402.72	$590.04	$1,065.25