Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.12 / $270.12 / $641.64	Facility		$270.12	$270.12	$641.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.12 / $341.20 / $502.35	Professional		$270.12	$341.20	$502.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.79 / $796.32 / $2,087.50	Facility		$568.79	$796.32	$2,087.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.25 / $472.94 / $908.04	Professional		$303.25	$472.94	$908.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $483.48 / $627.91 / $1,114.84	Facility		$483.48	$627.91	$1,114.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $483.48 / $483.48 / $483.48	Professional		$483.48	$483.48	$483.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.88 / $477.88 / $477.88	Facility		$477.88	$477.88	$477.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $348.85 / $856.50	Professional		$348.85	$348.85	$856.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.29 / $568.79 / $1,033.30	Professional		$432.29	$568.79	$1,033.30
United Facility/Professional Professional Modifier Low / Median / High Price $189.18 / $283.76 / $472.94	Professional		$189.18	$283.76	$472.94