Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $954.99 / $1,513.56	Facility		$363.08	$954.99	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $524.81	Professional		$363.08	$416.87	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $588.84 / $691.83	Facility		$100.00	$588.84	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $331.13	Professional		$50.12	$50.12	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,659.59	Facility		$831.76	$1,202.26	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $776.25	Professional		$537.03	$616.60	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $707.95	Professional		$588.84	$616.60	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $489.78 / $537.03	Facility		$295.12	$489.78	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $776.25	Professional		$229.09	$323.59	$776.25