Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.35 / $631.35 / $631.35	Facility		$631.35	$631.35	$631.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.35 / $750.12 / $1,182.51	Professional		$631.35	$750.12	$1,182.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $1,247.70 / $2,854.88	Professional		$106.86	$1,247.70	$2,854.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $210.08 / $1,167.69	Facility		$127.55	$210.08	$1,167.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $127.55 / $127.55	Professional		$127.55	$127.55	$127.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $93.11 / $121.19	Professional		$93.11	$93.11	$121.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.18 / $292.18 / $300.95	Professional		$292.18	$292.18	$300.95
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $74.86 / $831.11	Professional		$50.74	$74.86	$831.11