Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.39 / $288.39 / $2,063.42	Facility		$288.39	$288.39	$2,063.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.39 / $364.19 / $461.44	Professional		$288.39	$364.19	$461.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.31 / $969.23 / $2,540.78	Facility		$692.31	$969.23	$2,540.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.10 / $575.65 / $1,105.25	Professional		$369.10	$575.65	$1,105.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.46 / $692.31 / $1,356.93	Facility		$588.46	$692.31	$1,356.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.46 / $588.46 / $588.46	Professional		$588.46	$588.46	$588.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $432.60	Facility		$432.60	$432.60	$432.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $432.60 / $802.50	Professional		$315.80	$432.60	$802.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.16 / $692.31 / $1,258.31	Professional		$526.16	$692.31	$1,258.31
United Facility/Professional Facility Modifier Low / Median / High Price $266.12 / $482.48 / $532.23	Facility		$266.12	$482.48	$532.23
United Facility/Professional Professional Modifier Low / Median / High Price $270.44 / $345.39 / $569.83	Professional		$270.44	$345.39	$569.83