Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $288.40 / $1,096.48	Facility		$213.80	$288.40	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $316.23	Professional		$213.80	$257.04	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $346.74 / $416.87	Facility		$12.02	$346.74	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $223.87	Professional		$5.89	$5.89	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $977.24	Facility		$501.19	$707.95	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $489.78	Professional		$371.54	$398.11	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $416.87	Professional		$354.81	$371.54	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $288.40 / $323.59	Facility		$177.83	$288.40	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $524.81	Professional		$134.90	$194.98	$524.81