Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.66 / $286.66 / $811.99	Facility		$286.66	$286.66	$811.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.66 / $386.52 / $550.91	Professional		$286.66	$386.52	$550.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $688.13 / $963.38 / $2,525.44	Facility		$688.13	$963.38	$2,525.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.87 / $572.16 / $1,098.57	Professional		$366.87	$572.16	$1,098.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $569.25 / $651.28 / $1,273.04	Facility		$569.25	$651.28	$1,273.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $584.91 / $584.91 / $584.91	Professional		$584.91	$584.91	$584.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $528.47	Facility		$528.47	$528.47	$528.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $485.00 / $849.47	Professional		$385.78	$485.00	$849.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.98 / $688.13 / $1,154.86	Professional		$522.98	$688.13	$1,154.86
United Facility/Professional Professional Modifier Low / Median / High Price $248.37 / $343.30 / $566.40	Professional		$248.37	$343.30	$566.40