Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.64 / $282.64 / $800.63	Facility		$282.64	$282.64	$800.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.64 / $407.01 / $492.31	Professional		$282.64	$407.01	$492.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $678.50 / $949.90 / $2,490.10	Facility		$678.50	$949.90	$2,490.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.72 / $564.16 / $1,083.19	Professional		$361.72	$564.16	$1,083.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $576.73 / $678.50 / $1,329.86	Facility		$576.73	$678.50	$1,329.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $576.73 / $576.73 / $576.73	Professional		$576.73	$576.73	$576.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $472.30	Facility		$472.30	$472.30	$472.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $451.34 / $826.50	Professional		$344.78	$451.34	$826.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $515.66 / $678.50 / $943.11	Professional		$515.66	$678.50	$943.11
United Facility/Professional Professional Modifier Low / Median / High Price $225.66 / $338.50 / $558.45	Professional		$225.66	$338.50	$558.45