Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.12 / $304.12 / $722.43	Facility		$304.12	$304.12	$722.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.12 / $384.16 / $482.25	Professional		$304.12	$384.16	$482.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.41 / $896.57 / $2,350.30	Facility		$640.41	$896.57	$2,350.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.42 / $532.49 / $1,022.38	Professional		$341.42	$532.49	$1,022.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $544.35 / $683.21 / $1,184.76	Facility		$544.35	$683.21	$1,184.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $544.35 / $544.35 / $544.35	Professional		$544.35	$544.35	$544.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $400.16	Facility		$400.16	$400.16	$400.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $400.16 / $872.56	Professional		$292.12	$400.16	$872.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.71 / $640.41 / $1,163.40	Professional		$486.71	$640.41	$1,163.40
United Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $319.49 / $527.74	Professional		$213.00	$319.49	$527.74