Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $707.95	Facility		$239.88	$239.88	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $549.54	Professional		$239.88	$346.74	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,380.38 / $2,137.96	Facility		$588.84	$1,380.38	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $776.25	Professional		$309.03	$478.63	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,047.13	Facility		$489.78	$489.78	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $691.83	Professional		$363.08	$363.08	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $794.33	Professional		$407.38	$588.84	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $398.11 / $457.09	Facility		$218.78	$398.11	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $562.34	Professional		$190.55	$288.40	$562.34