Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.43 / $243.43 / $689.53	Facility		$243.43	$243.43	$689.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.43 / $350.53 / $433.65	Professional		$243.43	$350.53	$433.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.35 / $818.09 / $2,144.56	Facility		$584.35	$818.09	$2,144.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.54 / $485.88 / $932.89	Professional		$311.54	$485.88	$932.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $496.70 / $583.61 / $1,081.05	Facility		$496.70	$583.61	$1,081.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $496.70 / $496.70 / $496.70	Professional		$496.70	$496.70	$496.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.85 / $483.85 / $483.85	Facility		$483.85	$483.85	$483.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $434.62 / $780.92	Professional		$353.21	$434.62	$780.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.11 / $584.35 / $812.20	Professional		$444.11	$584.35	$812.20
United Facility/Professional Facility Modifier Low / Median / High Price $389.42 / $389.42 / $389.42	Facility		$389.42	$389.42	$389.42
United Facility/Professional Professional Modifier Low / Median / High Price $194.35 / $291.52 / $480.96	Professional		$194.35	$291.52	$480.96