Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $707.95	Professional		$380.19	$501.19	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $562.34 / $1,047.13	Professional		$67.61	$562.34	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $870.96	Facility		$64.57	$64.57	$870.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $588.84	Facility		$549.54	$549.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $562.34	Professional		$467.74	$549.54	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $758.58 / $1,202.26	Professional		$169.82	$758.58	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $398.11 / $676.08	Facility		$50.12	$398.11	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,023.29	Professional		$380.19	$562.34	$1,023.29