Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.57 / $325.57 / $773.36	Facility		$325.57	$325.57	$773.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.43 / $365.86 / $516.23	Professional		$308.43	$365.86	$516.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $685.57 / $959.80 / $2,516.04	Facility		$685.57	$959.80	$2,516.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.95 / $570.03 / $1,094.46	Professional		$363.95	$570.03	$1,094.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $565.72 / $582.73 / $1,268.30	Facility		$565.72	$582.73	$1,268.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $582.73 / $582.73 / $582.73	Professional		$582.73	$582.73	$582.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $790.50	Professional		$277.86	$380.63	$790.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.29 / $685.57 / $952.91	Professional		$405.29	$685.57	$952.91
United Facility/Professional Professional Modifier Low / Median / High Price $228.01 / $337.38 / $564.28	Professional		$228.01	$337.38	$564.28