Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $741.31	Facility		$251.19	$251.19	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $602.56	Professional		$251.19	$363.08	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,479.11 / $2,290.87	Facility		$630.96	$1,479.11	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $794.33	Professional		$323.59	$512.86	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,047.13	Facility		$501.19	$501.19	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $741.31	Professional		$363.08	$363.08	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $851.14	Professional		$436.52	$630.96	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $407.38 / $457.09	Facility		$223.87	$407.38	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $575.44	Professional		$204.17	$302.00	$575.44