Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.59 / $431.59 / $1,025.18	Facility		$431.59	$431.59	$1,025.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.59 / $545.16 / $721.96	Professional		$431.59	$545.16	$721.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.80 / $1,272.32 / $3,335.30	Facility		$908.80	$1,272.32	$3,335.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.51 / $755.65 / $1,450.85	Professional		$484.51	$755.65	$1,450.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $772.48 / $996.68 / $1,681.28	Facility		$772.48	$996.68	$1,681.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $772.48 / $772.48 / $772.48	Professional		$772.48	$772.48	$772.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $567.88	Facility		$567.88	$567.88	$567.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $414.55 / $1,359.38	Professional		$414.55	$414.55	$1,359.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.69 / $908.80 / $1,371.85	Professional		$690.69	$908.80	$1,371.85
United Facility/Professional Professional Modifier Low / Median / High Price $302.26 / $453.39 / $748.01	Professional		$302.26	$453.39	$748.01