Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.99 / $290.99 / $824.28	Facility		$290.99	$290.99	$824.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.99 / $413.21 / $557.91	Professional		$290.99	$413.21	$557.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $698.54 / $977.96 / $2,563.64	Facility		$698.54	$977.96	$2,563.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.41 / $580.82 / $1,115.17	Professional		$372.41	$580.82	$1,115.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $593.76 / $698.54 / $1,369.14	Facility		$593.76	$698.54	$1,369.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $593.76 / $593.76 / $593.76	Professional		$593.76	$593.76	$593.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $555.76	Facility		$555.76	$555.76	$555.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $516.80 / $946.50	Professional		$405.70	$516.80	$946.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $530.89 / $698.54 / $970.27	Professional		$530.89	$698.54	$970.27
United Facility/Professional Professional Modifier Low / Median / High Price $272.87 / $348.49 / $777.47	Professional		$272.87	$348.49	$777.47