Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $660.69	Facility		$223.87	$223.87	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $457.09	Professional		$223.87	$269.15	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,318.26 / $2,041.74	Facility		$549.54	$1,318.26	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $691.83	Professional		$288.40	$446.68	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $891.25	Facility		$338.84	$338.84	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $645.65	Professional		$251.19	$251.19	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $741.31	Professional		$371.54	$549.54	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $346.74 / $398.11	Facility		$194.98	$346.74	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $512.86	Professional		$177.83	$269.15	$512.86