Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.46 / $343.46 / $972.88	Facility		$343.46	$343.46	$972.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.46 / $485.72 / $674.29	Professional		$343.46	$485.72	$674.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $824.47 / $1,154.26 / $3,025.80	Facility		$824.47	$1,154.26	$3,025.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.56 / $685.54 / $1,316.24	Professional		$439.56	$685.54	$1,316.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $687.41 / $776.20 / $1,525.27	Facility		$687.41	$776.20	$1,525.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $700.80 / $700.80 / $700.80	Professional		$700.80	$700.80	$700.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.92 / $649.92 / $649.92	Facility		$649.92	$649.92	$649.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $578.03 / $1,058.63	Professional		$474.45	$578.03	$1,058.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $626.60 / $824.47 / $1,469.46	Professional		$626.60	$824.47	$1,469.46
United Facility/Professional Professional Modifier Low / Median / High Price $315.91 / $411.32 / $678.60	Professional		$315.91	$411.32	$678.60