Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.54 / $367.54 / $1,041.09	Facility		$367.54	$367.54	$1,041.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.54 / $470.83 / $588.05	Professional		$367.54	$470.83	$588.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $882.29 / $1,235.21 / $3,238.00	Facility		$882.29	$1,235.21	$3,238.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.72 / $733.61 / $1,408.53	Professional		$476.72	$733.61	$1,408.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $728.04 / $749.95 / $1,632.24	Facility		$728.04	$749.95	$1,632.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $749.95 / $749.95 / $749.95	Professional		$749.95	$749.95	$749.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $624.54	Facility		$624.54	$624.54	$624.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $455.91 / $1,017.38	Professional		$455.91	$455.91	$1,017.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.54 / $882.29 / $1,707.00	Professional		$670.54	$882.29	$1,707.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $440.17 / $726.18	Professional		$306.22	$440.17	$726.18