Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.60 / $204.60 / $485.98	Facility		$204.60	$204.60	$485.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $258.44 / $315.24	Professional		$195.15	$258.44	$315.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.83 / $603.16 / $1,581.15	Facility		$430.83	$603.16	$1,581.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.67 / $358.22 / $687.78	Professional		$229.67	$358.22	$687.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $344.44 / $382.19 / $797.04	Facility		$344.44	$382.19	$797.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $366.21 / $366.21 / $366.21	Professional		$366.21	$366.21	$366.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $253.20	Facility		$253.20	$253.20	$253.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $253.20 / $521.25	Professional		$184.84	$253.20	$521.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.43 / $430.83 / $611.79	Professional		$327.43	$430.83	$611.79
United Facility/Professional Professional Modifier Low / Median / High Price $143.29 / $214.93 / $354.58	Professional		$143.29	$214.93	$354.58