Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.40 / $388.40 / $388.40	Facility		$388.40	$388.40	$388.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.40 / $461.46 / $691.89	Professional		$388.40	$461.46	$691.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $767.60 / $1,645.06	Professional		$74.37	$767.60	$1,645.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $92.30 / $180.91	Facility		$78.45	$92.30	$180.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $78.45 / $78.45	Professional		$78.45	$78.45	$78.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.40 / $872.40 / $872.40	Facility		$872.40	$872.40	$872.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $643.37 / $1,068.75	Professional		$65.25	$643.37	$1,068.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $639.64 / $841.63 / $1,346.61	Professional		$639.64	$841.63	$1,346.61
United Facility/Professional Professional Modifier Low / Median / High Price $258.45 / $387.69 / $666.84	Professional		$258.45	$387.69	$666.84