Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.83 / $182.83 / $517.89	Facility		$182.83	$182.83	$517.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.83 / $263.27 / $368.94	Professional		$182.83	$263.27	$368.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.98 / $364.93 / $700.67	Professional		$233.98	$364.93	$700.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.13 / $373.06 / $811.95	Facility		$357.13	$373.06	$811.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $373.06 / $373.06 / $373.06	Professional		$373.06	$373.06	$373.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.38 / $373.38 / $373.38	Facility		$373.38	$373.38	$373.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $317.37 / $588.20	Professional		$317.37	$317.37	$588.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.56 / $438.89 / $659.02	Professional		$333.56	$438.89	$659.02
United Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $218.96 / $361.23	Professional		$145.97	$218.96	$361.23