Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.14 / $283.14 / $283.14	Facility		$283.14	$283.14	$283.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $344.40 / $552.50	Professional		$283.14	$344.40	$552.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $427.04 / $1,102.58	Professional		$51.66	$427.04	$1,102.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.93 / $73.20 / $539.33	Facility		$53.93	$73.20	$539.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $56.44 / $56.44	Professional		$56.44	$56.44	$56.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $316.74	Facility		$316.74	$316.74	$316.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $316.74 / $791.25	Professional		$52.19	$316.74	$791.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $440.60 / $1,394.00	Professional		$92.77	$440.60	$1,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.48 / $308.05 / $542.55	Professional		$176.48	$308.05	$542.55