Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.61 / $279.61 / $792.03	Facility		$279.61	$279.61	$792.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.61 / $389.49 / $447.37	Professional		$279.61	$389.49	$447.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.21 / $939.69 / $2,463.34	Facility		$671.21	$939.69	$2,463.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.85 / $558.10 / $1,071.55	Professional		$357.85	$558.10	$1,071.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $570.53 / $671.21 / $1,315.57	Facility		$570.53	$671.21	$1,315.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $570.53 / $570.53 / $570.53	Professional		$570.53	$570.53	$570.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $419.41	Facility		$419.41	$419.41	$419.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $306.17 / $896.96	Professional		$306.17	$306.17	$896.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.12 / $671.21 / $1,219.92	Professional		$510.12	$671.21	$1,219.92
United Facility/Professional Professional Modifier Low / Median / High Price $223.24 / $334.86 / $558.10	Professional		$223.24	$334.86	$558.10