Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.01 / $280.01 / $793.16	Facility		$280.01	$280.01	$793.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.01 / $400.82 / $488.30	Professional		$280.01	$400.82	$488.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.17 / $941.04 / $2,466.86	Facility		$672.17	$941.04	$2,466.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.35 / $558.89 / $1,073.07	Professional		$358.35	$558.89	$1,073.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $571.34 / $672.17 / $1,317.45	Facility		$571.34	$672.17	$1,317.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $571.34 / $571.34 / $571.34	Professional		$571.34	$571.34	$571.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.01 / $420.01 / $420.01	Facility		$420.01	$420.01	$420.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $420.01 / $822.38	Professional		$306.61	$420.01	$822.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.85 / $672.17 / $934.22	Professional		$510.85	$672.17	$934.22
United Facility/Professional Professional Modifier Low / Median / High Price $223.56 / $335.33 / $558.89	Professional		$223.56	$335.33	$558.89