Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.27 / $304.27 / $861.88	Facility		$304.27	$304.27	$861.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.27 / $438.14 / $486.82	Professional		$304.27	$438.14	$486.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.41 / $1,022.57 / $2,680.60	Facility		$730.41	$1,022.57	$2,680.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.41 / $607.32 / $1,166.05	Professional		$389.41	$607.32	$1,166.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $620.85 / $682.94 / $1,351.26	Facility		$620.85	$682.94	$1,351.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $620.85 / $620.85 / $620.85	Professional		$620.85	$620.85	$620.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $456.40	Facility		$456.40	$456.40	$456.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $456.40 / $911.63	Professional		$333.17	$456.40	$911.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.11 / $730.41 / $1,014.37	Professional		$555.11	$730.41	$1,014.37
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.32 / $364.39 / $601.16	Professional		$285.32	$364.39	$601.16