Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.05 / $289.05 / $818.77	Facility		$289.05	$289.05	$818.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.05 / $416.23 / $583.28	Professional		$289.05	$416.23	$583.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $693.87 / $971.42 / $2,546.50	Facility		$693.87	$971.42	$2,546.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.92 / $576.94 / $1,107.72	Professional		$369.92	$576.94	$1,107.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $589.79 / $693.87 / $1,359.99	Facility		$589.79	$693.87	$1,359.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $589.79 / $589.79 / $589.79	Professional		$589.79	$589.79	$589.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $500.58	Facility		$500.58	$500.58	$500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $489.82 / $897.00	Professional		$365.42	$489.82	$897.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.34 / $693.87 / $964.15	Professional		$527.34	$693.87	$964.15
United Facility/Professional Professional Modifier Low / Median / High Price $230.78 / $346.16 / $571.11	Professional		$230.78	$346.16	$571.11