Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.69 / $312.69 / $885.73	Facility		$312.69	$312.69	$885.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.69 / $444.01 / $500.30	Professional		$312.69	$444.01	$500.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.62 / $1,050.86 / $2,754.78	Facility		$750.62	$1,050.86	$2,754.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.18 / $624.12 / $1,198.31	Professional		$400.18	$624.12	$1,198.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.03 / $750.62 / $1,471.22	Facility		$638.03	$750.62	$1,471.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $638.03 / $638.03 / $638.03	Professional		$638.03	$638.03	$638.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $485.57 / $485.57	Facility		$485.57	$485.57	$485.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $475.13 / $870.38	Professional		$354.47	$475.13	$870.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.47 / $750.62 / $1,043.33	Professional		$570.47	$750.62	$1,043.33
United Facility/Professional Professional Modifier Low / Median / High Price $326.01 / $374.47 / $750.62	Professional		$326.01	$374.47	$750.62