Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $741.31	Facility		$257.04	$257.04	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $512.86	Professional		$257.04	$302.00	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,479.11 / $2,290.87	Facility		$630.96	$1,479.11	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $776.25	Professional		$331.13	$512.86	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $977.24	Facility		$398.11	$398.11	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $707.95	Professional		$295.12	$295.12	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,023.29	Professional		$407.38	$630.96	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $407.38 / $426.58	Facility		$208.93	$407.38	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $602.56	Professional		$204.17	$309.03	$602.56