Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.52 / $239.52 / $678.48	Facility		$239.52	$239.52	$678.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.52 / $340.12 / $451.09	Professional		$239.52	$340.12	$451.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $574.98 / $804.97 / $2,110.17	Facility		$574.98	$804.97	$2,110.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.54 / $478.08 / $917.91	Professional		$306.54	$478.08	$917.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $488.73 / $584.04 / $1,063.71	Facility		$488.73	$584.04	$1,063.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $488.73 / $488.73 / $488.73	Professional		$488.73	$488.73	$488.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $444.49	Facility		$444.49	$444.49	$444.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $434.94 / $783.41	Professional		$324.48	$434.94	$783.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.98 / $574.98 / $1,045.04	Professional		$436.98	$574.98	$1,045.04
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.23 / $286.85 / $473.25	Professional		$191.23	$286.85	$473.25