Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.43 / $348.43 / $986.96	Facility		$348.43	$348.43	$986.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.43 / $494.76 / $617.79	Professional		$348.43	$494.76	$617.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $836.41 / $1,170.97 / $3,069.62	Facility		$836.41	$1,170.97	$3,069.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $695.46 / $1,335.28	Professional		$459.00	$695.46	$1,335.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $710.95 / $867.67 / $1,547.36	Facility		$710.95	$867.67	$1,547.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $710.95 / $710.95 / $710.95	Professional		$710.95	$710.95	$710.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $510.69	Facility		$510.69	$510.69	$510.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $434.09 / $1,091.85	Professional		$434.09	$434.09	$1,091.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $635.66 / $836.41 / $1,459.00	Professional		$635.66	$836.41	$1,459.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.26 / $417.28 / $688.45	Professional		$319.26	$417.28	$688.45