Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $724.44	Facility		$245.47	$245.47	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $549.54	Professional		$245.47	$346.74	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,445.44 / $2,238.72	Facility		$602.56	$1,445.44	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $812.83	Professional		$316.23	$489.78	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $1,071.52	Facility		$398.11	$398.11	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $724.44	Professional		$295.12	$295.12	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $812.83	Professional		$426.58	$602.56	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $416.87 / $467.74	Facility		$229.09	$416.87	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $575.44	Professional		$194.98	$295.12	$575.44