Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.02 / $281.02 / $796.00	Facility		$281.02	$281.02	$796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.02 / $338.51 / $449.62	Professional		$281.02	$338.51	$449.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.58 / $944.41 / $2,475.71	Facility		$674.58	$944.41	$2,475.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.97 / $560.91 / $1,076.95	Professional		$382.97	$560.91	$1,076.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $556.67 / $573.39 / $1,247.97	Facility		$556.67	$573.39	$1,247.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $573.39 / $573.39 / $573.39	Professional		$573.39	$573.39	$573.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $434.07	Facility		$434.07	$434.07	$434.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $316.87 / $777.75	Professional		$316.87	$316.87	$777.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.67 / $674.58 / $1,398.00	Professional		$512.67	$674.58	$1,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.36 / $336.55 / $555.24	Professional		$224.36	$336.55	$555.24