Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $933.25	Facility		$363.08	$363.08	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $691.83	Professional		$354.81	$457.09	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,862.09 / $2,884.03	Facility		$776.25	$1,862.09	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,047.13	Professional		$407.38	$630.96	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,412.54	Facility		$549.54	$549.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $933.25	Professional		$398.11	$398.11	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,148.15	Professional		$549.54	$776.25	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $380.19 / $562.34	Facility		$239.88	$380.19	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $741.31	Professional		$257.04	$380.19	$741.31