Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.97 / $329.97 / $934.69	Facility		$329.97	$329.97	$934.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.97 / $453.69 / $608.92	Professional		$329.97	$453.69	$608.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $792.11 / $1,108.95 / $2,907.04	Facility		$792.11	$1,108.95	$2,907.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.31 / $658.63 / $1,264.57	Professional		$479.31	$658.63	$1,264.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $673.29 / $897.73 / $1,465.40	Facility		$673.29	$897.73	$1,465.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $673.29 / $673.29 / $673.29	Professional		$673.29	$673.29	$673.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $703.94	Facility		$703.94	$703.94	$703.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $598.35 / $921.00	Professional		$598.35	$598.35	$921.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.00 / $792.11 / $1,439.59	Professional		$602.00	$792.11	$1,439.59
United Facility/Professional Professional Modifier Low / Median / High Price $309.42 / $395.18 / $658.63	Professional		$309.42	$395.18	$658.63