Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $537.03 / $758.58	Facility		$181.97	$537.03	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $363.08	Professional		$181.97	$213.80	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,047.13 / $1,621.81	Facility		$446.68	$1,047.13	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $549.54	Professional		$234.42	$363.08	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $691.83	Facility		$275.42	$275.42	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $489.78	Professional		$199.53	$199.53	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $954.99	Professional		$288.40	$446.68	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $295.12 / $309.03	Facility		$151.36	$295.12	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $426.58	Professional		$144.54	$218.78	$426.58