Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.33 / $261.33 / $740.25	Facility		$261.33	$261.33	$740.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.33 / $376.32 / $480.44	Professional		$261.33	$376.32	$480.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $627.33 / $878.26 / $2,302.30	Facility		$627.33	$878.26	$2,302.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.46 / $521.62 / $1,001.51	Professional		$334.46	$521.62	$1,001.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $533.23 / $615.80 / $1,160.56	Facility		$533.23	$615.80	$1,160.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $533.23 / $533.23 / $533.23	Professional		$533.23	$533.23	$533.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $468.67	Facility		$468.67	$468.67	$468.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $342.13 / $837.37	Professional		$342.13	$342.13	$837.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.77 / $627.33 / $871.79	Professional		$476.77	$627.33	$871.79
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $260.55 / $312.97 / $516.35	Professional		$260.55	$312.97	$516.35