Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $831.76	Facility		$281.84	$281.84	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $562.34	Professional		$281.84	$331.13	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,621.81 / $2,511.89	Facility		$691.83	$1,621.81	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $812.83	Professional		$407.38	$562.34	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $1,071.52	Facility		$436.52	$436.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $776.25	Professional		$316.23	$316.23	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,318.26	Professional		$446.68	$691.83	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $446.68 / $478.63	Facility		$229.09	$446.68	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $660.69	Professional		$223.87	$338.84	$660.69