Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.76 / $392.76 / $932.97	Facility		$392.76	$392.76	$932.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.09 / $488.18 / $608.50	Professional		$372.09	$488.18	$608.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $827.04 / $1,157.85 / $3,035.24	Facility		$827.04	$1,157.85	$3,035.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.46 / $687.67 / $1,320.33	Professional		$437.46	$687.67	$1,320.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $642.66 / $822.56 / $1,530.02	Facility		$642.66	$822.56	$1,530.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $702.98 / $702.98 / $702.98	Professional		$702.98	$702.98	$702.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.01 / $626.01 / $626.01	Facility		$626.01	$626.01	$626.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $606.62 / $1,010.31	Professional		$456.99	$606.62	$1,010.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.54 / $827.04 / $1,373.48	Professional		$628.54	$827.04	$1,373.48
United Facility/Professional Professional Modifier Low / Median / High Price $275.07 / $412.60 / $680.72	Professional		$275.07	$412.60	$680.72