Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $1,258.93	Facility		$426.58	$426.58	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $891.25	Professional		$426.58	$537.03	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,511.89 / $3,801.89	Facility		$1,047.13	$2,511.89	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,380.38	Professional		$549.54	$851.14	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,819.70	Facility		$660.69	$660.69	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,258.93	Professional		$478.63	$478.63	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,412.54	Professional		$741.31	$1,047.13	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $707.95 / $812.83	Facility		$389.05	$707.95	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $954.99	Professional		$338.84	$512.86	$954.99