Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.90 / $254.90 / $722.03	Facility		$254.90	$254.90	$722.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.90 / $361.96 / $471.57	Professional		$254.90	$361.96	$471.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $611.89 / $856.65 / $2,245.64	Facility		$611.89	$856.65	$2,245.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.22 / $508.78 / $976.86	Professional		$326.22	$508.78	$976.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $520.11 / $656.76 / $1,132.00	Facility		$520.11	$656.76	$1,132.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.11 / $520.11 / $520.11	Professional		$520.11	$520.11	$520.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $499.82	Facility		$499.82	$499.82	$499.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $464.89 / $774.20	Professional		$364.87	$464.89	$774.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.04 / $611.89 / $849.71	Professional		$465.04	$611.89	$849.71
United Facility/Professional Facility Modifier Low / Median / High Price $222.75 / $403.85 / $445.50	Facility		$222.75	$403.85	$445.50
United Facility/Professional Professional Modifier Low / Median / High Price $203.51 / $305.27 / $503.63	Professional		$203.51	$305.27	$503.63