Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $616.60	Facility		$208.93	$208.93	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $416.87	Professional		$204.17	$234.42	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,202.26 / $1,862.09	Facility		$512.86	$1,202.26	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $630.96	Professional		$245.47	$416.87	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $741.31	Facility		$281.84	$281.84	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $549.54	Professional		$204.17	$204.17	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $758.58	Professional		$302.00	$512.86	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $281.84 / $323.59	Facility		$154.88	$281.84	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $436.52	Professional		$165.96	$251.19	$436.52