Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $707.95	Facility		$245.47	$245.47	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $562.34	Professional		$245.47	$338.84	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,412.54 / $2,187.76	Facility		$602.56	$1,412.54	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $794.33	Professional		$309.03	$489.78	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,071.52	Facility		$478.63	$478.63	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $707.95	Professional		$354.81	$354.81	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $812.83	Professional		$416.87	$602.56	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $416.87 / $457.09	Facility		$223.87	$416.87	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $575.44	Professional		$194.98	$288.40	$575.44