Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.82 / $165.82 / $469.70	Facility		$165.82	$165.82	$469.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.82 / $238.78 / $302.19	Professional		$165.82	$238.78	$302.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.05 / $557.27 / $1,460.84	Facility		$398.05	$557.27	$1,460.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $330.98 / $635.48	Professional		$212.21	$330.98	$635.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.34 / $402.31 / $780.18	Facility		$338.34	$402.31	$780.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.34 / $338.34 / $338.34	Professional		$338.34	$338.34	$338.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $306.16	Facility		$306.16	$306.16	$306.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $299.58 / $531.82	Professional		$223.50	$299.58	$531.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.52 / $398.05 / $552.80	Professional		$302.52	$398.05	$552.80
United Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $198.59 / $327.62	Professional		$155.49	$198.59	$327.62