Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.86 / $601.86 / $679.33	Facility		$601.86	$601.86	$679.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.86 / $779.30 / $1,103.86	Professional		$601.86	$779.30	$1,103.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $804.80 / $2,132.57	Professional		$133.06	$804.80	$2,132.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.58 / $160.16 / $268.13	Facility		$88.58	$160.16	$268.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $89.02 / $120.44	Professional		$89.02	$89.02	$120.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $845.38 / $845.38	Facility		$845.38	$845.38	$845.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $845.38	Professional		$718.57	$718.57	$845.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.27 / $1,045.20 / $4,646.00	Professional		$470.27	$1,045.20	$4,646.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $115.82 / $1,134.36	Professional		$45.31	$115.82	$1,134.36