Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.18 / $329.18 / $932.45	Facility		$329.18	$329.18	$932.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.18 / $467.44 / $526.69	Professional		$329.18	$467.44	$526.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.21 / $1,106.29 / $2,900.07	Facility		$790.21	$1,106.29	$2,900.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.29 / $657.05 / $1,261.54	Professional		$421.29	$657.05	$1,261.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $671.68 / $790.21 / $1,548.81	Facility		$671.68	$790.21	$1,548.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $671.68 / $671.68 / $671.68	Professional		$671.68	$671.68	$671.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $589.44	Facility		$589.44	$589.44	$589.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $557.41 / $1,020.75	Professional		$430.29	$557.41	$1,020.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.55 / $790.21 / $1,098.25	Professional		$600.55	$790.21	$1,098.25
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $394.23 / $650.41	Professional		$308.68	$394.23	$650.41