Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.77 / $594.91 / $1,023.78	Facility		$214.77	$594.91	$1,023.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.77 / $274.52 / $310.04	Professional		$214.77	$274.52	$310.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $322.95 / $983.93	Facility		$12.50	$322.95	$983.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $5.95 / $290.66	Professional		$4.76	$5.95	$290.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $468.29 / $694.14	Facility		$322.95	$468.29	$694.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.48 / $710.51 / $995.79	Facility		$482.48	$710.51	$995.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $1,662.71 / $1,662.71	Professional		$209.93	$1,662.71	$1,662.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.66 / $576.66 / $1,499.44	Professional		$290.66	$576.66	$1,499.44
United Facility/Professional Facility Modifier Low / Median / High Price $290.66 / $290.66 / $290.66	Facility		$290.66	$290.66	$290.66
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $193.78 / $565.34	Professional		$135.63	$193.78	$565.34