Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.25 / $296.25 / $839.18	Facility		$296.25	$296.25	$839.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.25 / $401.40 / $474.00	Professional		$296.25	$401.40	$474.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.17 / $995.64 / $2,609.98	Facility		$711.17	$995.64	$2,609.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.42 / $591.32 / $1,135.33	Professional		$406.42	$591.32	$1,135.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $597.29 / $672.08 / $1,315.66	Facility		$597.29	$672.08	$1,315.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $604.49 / $604.49 / $604.49	Professional		$604.49	$604.49	$604.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $564.36	Facility		$564.36	$564.36	$564.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $411.98 / $892.93	Professional		$411.98	$411.98	$892.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.49 / $711.17 / $1,577.00	Professional		$540.49	$711.17	$1,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.53 / $354.79 / $585.35	Professional		$236.53	$354.79	$585.35