Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.70 / $319.70 / $905.62	Facility		$319.70	$319.70	$905.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $453.99 / $645.15	Professional		$319.70	$453.99	$645.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $767.47 / $1,074.46 / $2,816.61	Facility		$767.47	$1,074.46	$2,816.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.17 / $638.14 / $1,225.23	Professional		$409.17	$638.14	$1,225.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $652.35 / $751.84 / $1,419.82	Facility		$652.35	$751.84	$1,419.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $652.35 / $652.35 / $652.35	Professional		$652.35	$652.35	$652.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $572.20 / $572.20	Facility		$572.20	$572.20	$572.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $559.90 / $1,025.25	Professional		$417.71	$559.90	$1,025.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.28 / $767.47 / $1,066.28	Professional		$583.28	$767.47	$1,066.28
United Facility/Professional Professional Modifier Low / Median / High Price $255.26 / $382.88 / $631.70	Professional		$255.26	$382.88	$631.70