Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.54 / $262.54 / $743.67	Facility		$262.54	$262.54	$743.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.54 / $336.32 / $420.06	Professional		$262.54	$336.32	$420.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.23 / $882.32 / $2,312.94	Facility		$630.23	$882.32	$2,312.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.66 / $524.02 / $1,006.12	Professional		$332.66	$524.02	$1,006.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $520.03 / $535.70 / $1,165.93	Facility		$520.03	$535.70	$1,165.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $535.70 / $535.70 / $535.70	Professional		$535.70	$535.70	$535.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.51 / $405.51 / $405.51	Facility		$405.51	$405.51	$405.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $396.80 / $726.75	Professional		$296.02	$396.80	$726.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.97 / $630.23 / $1,017.32	Professional		$478.97	$630.23	$1,017.32
United Facility/Professional Professional Modifier Low / Median / High Price $252.24 / $314.41 / $626.85	Professional		$252.24	$314.41	$626.85