Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.37 / $1,354.41 / $1,354.41	Facility		$548.37	$1,354.41	$1,354.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.36 / $393.08 / $405.04	Professional		$256.36	$393.08	$405.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.57 / $427.26 / $547.90	Facility		$94.57	$427.26	$547.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $56.97 / $384.53	Professional		$45.58	$56.97	$384.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.26 / $619.53 / $918.31	Facility		$427.26	$619.53	$918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $638.30 / $939.97 / $1,317.65	Facility		$638.30	$939.97	$1,317.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.95 / $2,405.63 / $2,405.63	Professional		$249.95	$2,405.63	$2,405.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.53 / $763.29 / $3,328.93	Professional		$384.53	$763.29	$3,328.93
United Facility/Professional Facility Modifier Low / Median / High Price $384.53 / $384.53 / $384.53	Facility		$384.53	$384.53	$384.53
United Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $256.36 / $747.92	Professional		$179.45	$256.36	$747.92