Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.20 / $600.30 / $1,035.20	Professional		$505.20	$600.30	$1,035.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,158.08 / $1,158.08 / $1,158.08	Facility		$1,158.08	$1,158.08	$1,158.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $928.77 / $2,113.78	Professional		$92.88	$928.77	$2,113.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.44 / $750.36 / $1,866.81	Facility		$98.44	$750.36	$1,866.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.44 / $738.28 / $1,177.07	Professional		$98.44	$738.28	$1,177.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $542.66 / $542.66	Facility		$542.66	$542.66	$542.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.14 / $542.66 / $1,327.88	Professional		$396.14	$542.66	$1,327.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $880.15 / $1,158.08 / $3,684.00	Professional		$880.15	$1,158.08	$3,684.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.23 / $597.35 / $1,124.34	Professional		$398.23	$597.35	$1,124.34