Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $912.01	Facility		$309.03	$309.03	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $660.69	Professional		$309.03	$398.11	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,819.70 / $2,818.38	Facility		$758.58	$1,819.70	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,023.29	Professional		$398.11	$630.96	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,318.26	Facility		$489.78	$489.78	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $870.96	Professional		$354.81	$354.81	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,047.13	Professional		$537.03	$758.58	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $524.81 / $588.84	Facility		$288.40	$524.81	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $741.31	Professional		$251.19	$371.54	$741.31