Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.81 / $292.81 / $1,213.08	Facility		$292.81	$292.81	$1,213.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.81 / $411.16 / $488.79	Professional		$292.81	$411.16	$488.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $702.90 / $984.06 / $2,579.64	Facility		$702.90	$984.06	$2,579.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.75 / $584.45 / $1,122.14	Professional		$374.75	$584.45	$1,122.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $597.47 / $702.90 / $1,377.68	Facility		$597.47	$702.90	$1,377.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $597.47 / $597.47 / $597.47	Professional		$597.47	$597.47	$597.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $527.25	Facility		$527.25	$527.25	$527.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $384.89 / $939.08	Professional		$384.89	$384.89	$939.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.20 / $702.90 / $1,568.00	Professional		$534.20	$702.90	$1,568.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.57 / $350.67 / $584.45	Professional		$274.57	$350.67	$584.45