Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.24 / $199.24 / $564.36	Facility		$199.24	$199.24	$564.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.24 / $286.89 / $402.04	Professional		$199.24	$286.89	$402.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.27 / $669.58 / $1,755.25	Facility		$478.27	$669.58	$1,755.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.98 / $397.67 / $763.53	Professional		$254.98	$397.67	$763.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $406.53 / $524.74 / $884.80	Facility		$406.53	$524.74	$884.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $406.53 / $406.53 / $406.53	Professional		$406.53	$406.53	$406.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.85 / $298.85 / $298.85	Facility		$298.85	$298.85	$298.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $298.85 / $638.90	Professional		$218.16	$298.85	$638.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.49 / $478.27 / $869.09	Professional		$363.49	$478.27	$869.09
United Facility/Professional Professional Modifier Low / Median / High Price $159.07 / $238.60 / $393.66	Professional		$159.07	$238.60	$393.66