Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.18 / $381.36 / $558.87	Facility		$380.18	$381.36	$558.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.18 / $381.36 / $460.02	Professional		$380.18	$381.36	$460.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $620.85 / $1,399.59	Facility		$381.36	$620.85	$1,399.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.99 / $381.36 / $381.36	Professional		$342.99	$381.36	$381.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $381.36 / $747.47	Facility		$381.36	$381.36	$747.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.77 / $359.77 / $381.36	Facility		$359.77	$359.77	$381.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.42 / $954.00 / $1,479.00	Professional		$345.42	$954.00	$1,479.00
United Facility/Professional Facility Modifier Low / Median / High Price $374.36 / $730.00 / $730.00	Facility		$374.36	$730.00	$730.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $451.50	Professional		$381.36	$381.36	$451.50