Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.57 / $393.57 / $1,114.83	Facility		$393.57	$393.57	$1,114.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.50 / $459.19 / $629.70	Professional		$381.50	$459.19	$629.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.77 / $1,322.68 / $3,467.31	Facility		$944.77	$1,322.68	$3,467.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.01 / $785.56 / $1,508.28	Professional		$497.01	$785.56	$1,508.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $661.30 / $803.05 / $1,747.82	Facility		$661.30	$803.05	$1,747.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $803.05 / $803.05 / $803.05	Professional		$803.05	$803.05	$803.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.94 / $511.94 / $511.94	Facility		$511.94	$511.94	$511.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $959.63	Professional		$373.72	$373.72	$959.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $718.03 / $944.77 / $1,325.72	Professional		$718.03	$944.77	$1,325.72
United Facility/Professional Professional Modifier Low / Median / High Price $314.22 / $471.34 / $778.55	Professional		$314.22	$471.34	$778.55