Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.38 / $268.38 / $760.22	Facility		$268.38	$268.38	$760.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $386.46 / $525.35	Professional		$268.38	$386.46	$525.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $644.25 / $901.95 / $2,364.40	Facility		$644.25	$901.95	$2,364.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.47 / $535.67 / $1,028.51	Professional		$343.47	$535.67	$1,028.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $547.61 / $721.65 / $1,191.85	Facility		$547.61	$721.65	$1,191.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $547.61 / $547.61 / $547.61	Professional		$547.61	$547.61	$547.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $402.56 / $402.56	Facility		$402.56	$402.56	$402.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $402.56 / $860.67	Professional		$293.87	$402.56	$860.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.63 / $644.25 / $1,170.86	Professional		$489.63	$644.25	$1,170.86
United Facility/Professional Professional Modifier Low / Median / High Price $251.66 / $321.41 / $530.27	Professional		$251.66	$321.41	$530.27