Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.96 / $333.96 / $793.28	Facility		$333.96	$333.96	$793.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.38 / $392.85 / $520.04	Professional		$316.38	$392.85	$520.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $703.22 / $984.51 / $2,580.82	Facility		$703.22	$984.51	$2,580.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.94 / $584.72 / $1,122.66	Professional		$369.94	$584.72	$1,122.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $555.98 / $624.23 / $1,300.96	Facility		$555.98	$624.23	$1,300.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $597.74 / $597.74 / $597.74	Professional		$597.74	$597.74	$597.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $408.71	Facility		$408.71	$408.71	$408.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $408.71 / $851.25	Professional		$298.36	$408.71	$851.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.45 / $703.22 / $987.42	Professional		$534.45	$703.22	$987.42
United Facility/Professional Professional Modifier Low / Median / High Price $233.89 / $350.83 / $584.72	Professional		$233.89	$350.83	$584.72