Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.88 / $220.88 / $524.67	Facility		$220.88	$220.88	$524.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.88 / $279.00 / $378.16	Professional		$220.88	$279.00	$378.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.10 / $651.14 / $1,706.92	Facility		$465.10	$651.14	$1,706.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.97 / $386.73 / $742.52	Professional		$247.97	$386.73	$742.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $395.34 / $465.10 / $911.60	Facility		$395.34	$465.10	$911.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $395.34 / $395.34 / $395.34	Professional		$395.34	$395.34	$395.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $290.63	Facility		$290.63	$290.63	$290.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $290.63 / $574.50	Professional		$212.16	$290.63	$574.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.48 / $465.10 / $844.56	Professional		$353.48	$465.10	$844.56
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $232.04 / $382.82	Professional		$154.69	$232.04	$382.82