Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $851.14	Facility		$331.13	$331.13	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $630.96	Professional		$316.23	$371.54	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,698.24 / $2,630.27	Facility		$724.44	$1,698.24	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $891.25	Professional		$371.54	$588.84	$891.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,174.90	Facility		$407.38	$407.38	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $851.14	Professional		$295.12	$295.12	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $977.24	Professional		$489.78	$724.44	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $562.34	Facility		$204.17	$323.59	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $630.96	Professional		$234.42	$354.81	$630.96