Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.36 / $208.36 / $590.19	Facility		$208.36	$208.36	$590.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $240.50 / $333.37	Professional		$208.36	$240.50	$333.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.16 / $700.22 / $1,835.59	Facility		$500.16	$700.22	$1,835.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.06 / $415.88 / $798.49	Professional		$247.06	$415.88	$798.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $345.32 / $425.14 / $925.30	Facility		$345.32	$425.14	$925.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $425.14 / $425.14 / $425.14	Professional		$425.14	$425.14	$425.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $280.67	Facility		$280.67	$280.67	$280.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $280.67 / $543.02	Professional		$204.89	$280.67	$543.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.12 / $500.16 / $760.07	Professional		$380.12	$500.16	$760.07
United Facility/Professional Professional Modifier Low / Median / High Price $166.35 / $249.53 / $411.68	Professional		$166.35	$249.53	$411.68