Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.78 / $427.78 / $1,211.74	Facility		$427.78	$427.78	$1,211.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.78 / $582.94 / $684.45	Professional		$427.78	$582.94	$684.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.90 / $1,437.66 / $3,768.72	Facility		$1,026.90	$1,437.66	$3,768.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.45 / $853.85 / $1,639.39	Professional		$547.45	$853.85	$1,639.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $867.63 / $872.87 / $1,899.77	Facility		$867.63	$872.87	$1,899.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $872.87 / $872.87 / $872.87	Professional		$872.87	$872.87	$872.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.31 / $660.31 / $660.31	Facility		$660.31	$660.31	$660.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $646.12 / $1,183.50	Professional		$482.03	$646.12	$1,183.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.44 / $1,026.90 / $1,426.72	Professional		$780.44	$1,026.90	$1,426.72
United Facility/Professional Professional Modifier Low / Median / High Price $398.73 / $512.30 / $845.19	Professional		$398.73	$512.30	$845.19