Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.33 / $278.33 / $788.39	Facility		$278.33	$278.33	$788.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.33 / $361.14 / $445.32	Professional		$278.33	$361.14	$445.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.46 / $555.54 / $1,066.64	Professional		$351.46	$555.54	$1,066.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $567.91 / $668.13 / $1,309.53	Facility		$567.91	$668.13	$1,309.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $567.91 / $567.91 / $567.91	Professional		$567.91	$567.91	$567.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $375.74	Facility		$375.74	$375.74	$375.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $803.32	Professional		$319.38	$319.38	$803.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.78 / $668.13 / $1,093.02	Professional		$507.78	$668.13	$1,093.02
United Facility/Professional Professional Modifier Low / Median / High Price $234.89 / $333.32 / $549.91	Professional		$234.89	$333.32	$549.91