Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.32 / $295.32 / $836.51	Facility		$295.32	$295.32	$836.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.32 / $419.35 / $514.36	Professional		$295.32	$419.35	$514.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $708.91 / $992.47 / $2,601.69	Facility		$708.91	$992.47	$2,601.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.94 / $589.45 / $1,131.74	Professional		$377.94	$589.45	$1,131.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.57 / $708.91 / $1,389.46	Facility		$602.57	$708.91	$1,389.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.57 / $602.57 / $602.57	Professional		$602.57	$602.57	$602.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $458.59 / $458.59	Facility		$458.59	$458.59	$458.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $448.74 / $822.00	Professional		$334.77	$448.74	$822.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.77 / $708.91 / $984.73	Professional		$538.77	$708.91	$984.73
United Facility/Professional Professional Modifier Low / Median / High Price $296.42 / $353.67 / $692.30	Professional		$296.42	$353.67	$692.30