Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.20 / $712.20 / $803.87	Facility		$712.20	$712.20	$803.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.20 / $943.49 / $1,283.70	Professional		$712.20	$943.49	$1,283.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $1,041.59 / $2,699.83	Professional		$143.13	$1,041.59	$2,699.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.72 / $194.00 / $298.31	Facility		$113.72	$194.00	$298.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.72 / $113.72 / $153.86	Professional		$113.72	$113.72	$153.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.57 / $936.57 / $936.57	Facility		$936.57	$936.57	$936.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.08 / $796.08 / $936.57	Professional		$796.08	$796.08	$936.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,341.21 / $2,145.94	Professional		$501.19	$1,341.21	$2,145.94
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $124.84 / $1,237.57	Professional		$54.00	$124.84	$1,237.57