Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.39 / $224.39 / $1,179.77	Facility		$224.39	$224.39	$1,179.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.39 / $318.63 / $395.02	Professional		$224.39	$318.63	$395.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.66 / $754.12 / $1,976.88	Facility		$538.66	$754.12	$1,976.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.17 / $447.89 / $859.95	Professional		$287.17	$447.89	$859.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.86 / $563.34 / $1,055.77	Facility		$457.86	$563.34	$1,055.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.86 / $457.86 / $457.86	Professional		$457.86	$457.86	$457.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $393.88	Facility		$393.88	$393.88	$393.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $768.38	Professional		$287.52	$287.52	$768.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.38 / $538.66 / $748.56	Professional		$409.38	$538.66	$748.56
United Facility/Professional Professional Modifier Low / Median / High Price $233.95 / $268.73 / $599.53	Professional		$233.95	$268.73	$599.53