Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $549.54	Facility		$186.21	$186.21	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $380.19	Professional		$186.21	$218.78	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,096.48 / $1,698.24	Facility		$457.09	$1,096.48	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $549.54	Professional		$245.47	$371.54	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $707.95	Facility		$316.23	$316.23	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $512.86	Professional		$234.42	$234.42	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $851.14	Professional		$295.12	$457.09	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $316.23	Facility		$154.88	$302.00	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $436.52	Professional		$147.91	$223.87	$436.52