Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.79 / $610.79 / $610.79	Facility		$610.79	$610.79	$610.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.79 / $762.78 / $1,163.99	Professional		$610.79	$762.78	$1,163.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.95 / $1,018.78 / $2,378.42	Professional		$108.95	$1,018.78	$2,378.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.05 / $153.93 / $1,170.45	Facility		$117.05	$153.93	$1,170.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $118.82 / $118.82	Professional		$118.82	$118.82	$118.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $871.54 / $881.10 / $881.10	Facility		$871.54	$881.10	$881.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $881.10 / $1,620.00	Professional		$109.87	$881.10	$1,620.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $1,372.86 / $3,872.00	Professional		$212.21	$1,372.86	$3,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.18 / $824.87 / $1,354.96	Professional		$499.18	$824.87	$1,354.96