Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $446.68 / $912.01	Facility		$309.03	$446.68	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $660.69	Professional		$309.03	$398.11	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,819.70 / $2,818.38	Facility		$758.58	$1,819.70	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $933.25	Professional		$398.11	$630.96	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,174.90	Facility		$416.87	$416.87	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $912.01	Professional		$309.03	$309.03	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,258.93	Professional		$501.19	$758.58	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $524.81	Facility		$257.04	$467.74	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $741.31	Professional		$251.19	$371.54	$741.31