Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.77 / $309.77 / $877.48	Facility		$309.77	$309.77	$877.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.77 / $439.88 / $625.10	Professional		$309.77	$439.88	$625.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.63 / $1,041.08 / $2,729.12	Facility		$743.63	$1,041.08	$2,729.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.45 / $618.30 / $1,187.16	Professional		$396.45	$618.30	$1,187.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $632.09 / $696.93 / $1,375.72	Facility		$632.09	$696.93	$1,375.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $632.09 / $632.09 / $632.09	Professional		$632.09	$632.09	$632.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $530.41 / $530.41	Facility		$530.41	$530.41	$530.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $387.20 / $1,013.20	Professional		$387.20	$387.20	$1,013.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $565.16 / $743.63 / $1,033.24	Professional		$565.16	$743.63	$1,033.24
United Facility/Professional Professional Modifier Low / Median / High Price $290.48 / $370.99 / $726.20	Professional		$290.48	$370.99	$726.20