Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.83 / $303.83 / $860.65	Facility		$303.83	$303.83	$860.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.83 / $413.68 / $486.14	Professional		$303.83	$413.68	$486.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $729.36 / $1,021.10 / $2,676.75	Facility		$729.36	$1,021.10	$2,676.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.21 / $606.46 / $1,164.40	Professional		$384.21	$606.46	$1,164.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $542.60 / $619.96 / $1,349.32	Facility		$542.60	$619.96	$1,349.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $619.96 / $619.96 / $619.96	Professional		$619.96	$619.96	$619.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $412.94	Facility		$412.94	$412.94	$412.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $404.06 / $739.88	Professional		$301.45	$404.06	$739.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.30 / $729.36 / $1,166.98	Professional		$554.30	$729.36	$1,166.98
United Facility/Professional Professional Modifier Low / Median / High Price $249.36 / $363.88 / $600.35	Professional		$249.36	$363.88	$600.35