Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $664.02	Facility		$234.42	$234.42	$664.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $300.27 / $375.06	Professional		$234.42	$300.27	$375.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.73 / $787.82 / $2,065.21	Facility		$562.73	$787.82	$2,065.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.99 / $467.89 / $898.35	Professional		$299.99	$467.89	$898.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $464.30 / $478.32 / $1,041.05	Facility		$464.30	$478.32	$1,041.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.32 / $478.32 / $478.32	Professional		$478.32	$478.32	$478.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $362.03	Facility		$362.03	$362.03	$362.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $354.26 / $648.75	Professional		$264.27	$354.26	$648.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.67 / $562.73 / $781.77	Professional		$427.67	$562.73	$781.77
United Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $280.73 / $463.15	Professional		$195.30	$280.73	$463.15