Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.75 / $498.75 / $1,332.22	Facility		$498.75	$498.75	$1,332.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.75 / $637.50 / $720.00	Professional		$498.75	$637.50	$720.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.32 / $750.00 / $961.76	Facility		$415.32	$750.00	$961.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.01 / $336.26 / $1,042.40	Professional		$269.01	$336.26	$1,042.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,087.50 / $1,611.98	Facility		$750.00	$1,087.50	$1,611.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $1,650.00 / $2,312.38	Facility		$975.00	$1,650.00	$2,312.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,221.09 / $4,221.09 / $4,221.09	Professional		$4,221.09	$4,221.09	$4,221.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $975.00 / $5,844.61	Professional		$675.00	$975.00	$5,844.61
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $1,544.55	Professional		$315.00	$450.00	$1,544.55