Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.49 / $771.49 / $771.49	Facility		$771.49	$771.49	$771.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.49 / $961.74 / $1,374.50	Professional		$771.49	$961.74	$1,374.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $1,220.20 / $3,004.13	Professional		$137.44	$1,220.20	$3,004.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.46 / $191.89 / $1,474.54	Facility		$147.46	$191.89	$1,474.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.29 / $152.29 / $152.29	Professional		$152.29	$152.29	$152.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.47 / $1,122.47 / $1,459.20	Facility		$1,122.47	$1,122.47	$1,459.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $1,122.47 / $2,077.50	Professional		$140.82	$1,122.47	$2,077.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.06 / $1,467.09 / $6,286.00	Professional		$258.06	$1,467.09	$6,286.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.66 / $881.49 / $1,555.18	Professional		$587.66	$881.49	$1,555.18