Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.93 / $339.93 / $962.89	Facility		$339.93	$339.93	$962.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.93 / $409.43 / $543.89	Professional		$339.93	$409.43	$543.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $816.01 / $1,142.41 / $2,994.76	Facility		$816.01	$1,142.41	$2,994.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.27 / $657.33 / $1,454.31	Professional		$429.27	$657.33	$1,454.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $673.34 / $693.61 / $1,509.62	Facility		$673.34	$693.61	$1,509.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $693.61 / $693.61 / $693.61	Professional		$693.61	$693.61	$693.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $525.23	Facility		$525.23	$525.23	$525.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $383.42 / $861.02	Professional		$383.42	$383.42	$861.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.16 / $816.01 / $1,718.00	Professional		$620.16	$816.01	$1,718.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $407.10 / $705.23	Professional		$271.39	$407.10	$705.23