Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $758.58	Facility		$257.04	$257.04	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $588.84	Professional		$257.04	$354.81	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,479.11 / $2,290.87	Facility		$630.96	$1,479.11	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $831.76	Professional		$331.13	$512.86	$831.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,096.48	Facility		$457.09	$457.09	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $758.58	Professional		$331.13	$331.13	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $851.14	Professional		$436.52	$630.96	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $489.78	Facility		$234.42	$457.09	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $602.56	Professional		$204.17	$309.03	$602.56