Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.09 / $149.09 / $422.32	Facility		$149.09	$149.09	$422.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $211.71 / $251.69	Professional		$149.09	$211.71	$251.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.90 / $501.06 / $1,313.49	Facility		$357.90	$501.06	$1,313.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $297.58 / $571.35	Professional		$190.81	$297.58	$571.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.22 / $385.50 / $662.12	Facility		$304.22	$385.50	$662.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.22 / $304.22 / $304.22	Professional		$304.22	$304.22	$304.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $297.81	Facility		$297.81	$297.81	$297.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $272.80 / $487.64	Professional		$217.40	$272.80	$487.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $357.90 / $496.80	Professional		$272.00	$357.90	$496.80
United Facility/Professional Professional Modifier Low / Median / High Price $148.79 / $178.55 / $349.51	Professional		$148.79	$178.55	$349.51