Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.91 / $293.91 / $293.91	Facility		$293.91	$293.91	$293.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.91 / $349.74 / $554.90	Professional		$293.91	$349.74	$554.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $469.20 / $1,144.40	Professional		$54.00	$469.20	$1,144.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $76.18 / $510.64	Facility		$54.99	$76.18	$510.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $58.43 / $58.43	Professional		$58.43	$58.43	$58.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $429.00	Facility		$429.00	$429.00	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $429.00 / $810.00	Professional		$54.03	$429.00	$810.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $452.11 / $1,452.00	Professional		$95.97	$452.11	$1,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $319.66 / $550.77	Professional		$181.10	$319.66	$550.77