Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.52 / $246.52 / $698.30	Facility		$246.52	$246.52	$698.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $354.99 / $419.14	Professional		$246.52	$354.99	$419.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.78 / $828.49 / $2,171.83	Facility		$591.78	$828.49	$2,171.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.51 / $492.06 / $944.76	Professional		$315.51	$492.06	$944.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.01 / $591.78 / $1,159.89	Facility		$503.01	$591.78	$1,159.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $503.01 / $503.01 / $503.01	Professional		$503.01	$503.01	$503.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.78 / $400.78 / $400.78	Facility		$400.78	$400.78	$400.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $400.78 / $772.13	Professional		$292.57	$400.78	$772.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.75 / $591.78 / $822.14	Professional		$449.75	$591.78	$822.14
United Facility/Professional Professional Modifier Low / Median / High Price $247.45 / $295.24 / $487.08	Professional		$247.45	$295.24	$487.08