Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.09 / $426.09 / $1,138.13	Facility		$426.09	$426.09	$1,138.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.44 / $512.58 / $608.69	Professional		$384.44	$512.58	$608.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.30 / $640.73 / $821.63	Facility		$390.30	$640.73	$821.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $208.00 / $640.73	Professional		$156.00	$208.00	$640.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.47 / $897.02 / $1,377.12	Facility		$416.47	$897.02	$1,377.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.87 / $1,409.61 / $1,778.33	Facility		$1,007.87	$1,409.61	$1,778.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.63 / $709.13 / $886.41	Professional		$668.63	$709.13	$886.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.80 / $736.84 / $832.95	Professional		$704.80	$736.84	$832.95
United Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $384.44 / $653.61	Professional		$269.11	$384.44	$653.61