Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $870.96	Facility		$295.12	$295.12	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $660.69	Professional		$295.12	$371.54	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,698.24 / $2,630.27	Facility		$724.44	$1,698.24	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $954.99	Professional		$380.19	$588.84	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,230.27	Facility		$457.09	$457.09	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $870.96	Professional		$331.13	$331.13	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $977.24	Professional		$501.19	$724.44	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $562.34	Facility		$275.42	$537.03	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $691.83	Professional		$234.42	$354.81	$691.83