Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.04 / $228.04 / $645.96	Facility		$228.04	$228.04	$645.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $292.20 / $364.86	Professional		$228.04	$292.20	$364.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.41 / $766.39 / $2,009.03	Facility		$547.41	$766.39	$2,009.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.02 / $455.17 / $873.93	Professional		$359.02	$455.17	$873.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $465.31 / $1,012.73	Facility		$451.71	$465.31	$1,012.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $465.31 / $465.31 / $465.31	Professional		$465.31	$465.31	$465.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $388.32	Facility		$388.32	$388.32	$388.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $330.07 / $631.13	Professional		$330.07	$330.07	$631.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.04 / $547.41 / $871.00	Professional		$416.04	$547.41	$871.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.07 / $273.10 / $450.57	Professional		$182.07	$273.10	$450.57