Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $933.25	Facility		$316.23	$316.23	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $741.31	Professional		$316.23	$436.52	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,862.09 / $2,884.03	Facility		$776.25	$1,862.09	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,047.13	Professional		$407.38	$630.96	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,380.38	Facility		$575.44	$575.44	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,023.29	Professional		$416.87	$416.87	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,071.52	Professional		$549.54	$776.25	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $537.03 / $602.56	Facility		$295.12	$537.03	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $676.08	Professional		$257.04	$380.19	$676.08