Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.77 / $321.77 / $911.49	Facility		$321.77	$321.77	$911.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.77 / $404.11 / $514.85	Professional		$305.77	$404.11	$514.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.45 / $1,081.43 / $2,834.89	Facility		$772.45	$1,081.43	$2,834.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.34 / $642.28 / $1,233.18	Professional		$406.34	$642.28	$1,233.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $656.58 / $1,429.03	Facility		$530.04	$656.58	$1,429.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.58 / $656.58 / $656.58	Professional		$656.58	$656.58	$656.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $389.66	Facility		$389.66	$389.66	$389.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $389.65 / $723.00	Professional		$284.45	$389.65	$723.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $587.05 / $772.45 / $1,073.68	Professional		$587.05	$772.45	$1,073.68
United Facility/Professional Professional Modifier Low / Median / High Price $256.91 / $385.37 / $642.28	Professional		$256.91	$385.37	$642.28