Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $377.52 / $820.73	Facility		$376.48	$377.52	$820.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.48 / $377.52 / $455.54	Professional		$376.48	$377.52	$455.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $614.60 / $1,385.50	Facility		$377.52	$614.60	$1,385.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.01 / $377.52 / $377.52	Professional		$302.01	$377.52	$377.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $377.52 / $739.94	Facility		$377.52	$377.52	$739.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.15 / $356.15 / $377.52	Facility		$356.15	$356.15	$377.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.94 / $219.94 / $406.97	Professional		$219.94	$219.94	$406.97
United Facility/Professional Facility Modifier Low / Median / High Price $392.69 / $1,018.77 / $1,018.77	Facility		$392.69	$1,018.77	$1,018.77
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $400.17 / $453.02	Professional		$377.52	$400.17	$453.02