Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $831.76	Facility		$281.84	$281.84	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $575.44	Professional		$281.84	$338.84	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,659.59 / $2,570.40	Facility		$691.83	$1,659.59	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $851.14	Professional		$371.54	$562.34	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $1,071.52	Facility		$436.52	$436.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $776.25	Professional		$316.23	$316.23	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $933.25	Professional		$457.09	$691.83	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $478.63	Facility		$234.42	$457.09	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $602.56	Professional		$223.87	$338.84	$602.56