Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.85 / $312.85 / $500.55	Facility		$312.85	$312.85	$500.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.85 / $434.32 / $500.55	Professional		$312.85	$434.32	$500.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.00 / $1,051.40 / $2,756.17	Facility		$751.00	$1,051.40	$2,756.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.38 / $624.44 / $1,198.92	Professional		$400.38	$624.44	$1,198.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $631.57 / $685.28 / $1,389.35	Facility		$631.57	$685.28	$1,389.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $638.35 / $638.35 / $638.35	Professional		$638.35	$638.35	$638.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $418.79	Facility		$418.79	$418.79	$418.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $418.79 / $895.62	Professional		$305.72	$418.79	$895.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.76 / $751.00 / $1,217.79	Professional		$570.76	$751.00	$1,217.79
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $374.66 / $618.13	Professional		$261.80	$374.66	$618.13