Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.51 / $287.51 / $814.41	Facility		$287.51	$287.51	$814.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.51 / $340.95 / $517.29	Professional		$287.51	$340.95	$517.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $690.18 / $966.25 / $2,532.96	Facility		$690.18	$966.25	$2,532.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.80 / $573.86 / $1,101.81	Professional		$391.80	$573.86	$1,101.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $507.47 / $586.65 / $1,276.83	Facility		$507.47	$586.65	$1,276.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $586.65 / $586.65 / $586.65	Professional		$586.65	$586.65	$586.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.20 / $386.20 / $386.20	Facility		$386.20	$386.20	$386.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $281.93 / $835.83	Professional		$281.93	$281.93	$835.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.54 / $690.18 / $1,427.00	Professional		$524.54	$690.18	$1,427.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.21 / $344.32 / $568.04	Professional		$248.21	$344.32	$568.04