Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.61 / $251.61 / $712.72	Facility		$251.61	$251.61	$712.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.61 / $357.29 / $430.29	Professional		$251.61	$357.29	$430.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $845.60 / $2,216.67	Facility		$604.00	$845.60	$2,216.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.01 / $502.22 / $964.26	Professional		$322.01	$502.22	$964.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $496.49 / $661.99 / $1,117.40	Facility		$496.49	$661.99	$1,117.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $513.40 / $513.40 / $513.40	Professional		$513.40	$513.40	$513.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $503.81	Facility		$503.81	$503.81	$503.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $903.00	Professional		$367.78	$367.78	$903.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.04 / $604.00 / $839.03	Professional		$459.04	$604.00	$839.03
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $228.17 / $301.33 / $502.22	Professional		$228.17	$301.33	$502.22