Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $2,137.96	Facility		$512.86	$691.83	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $741.31	Professional		$512.86	$602.56	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $1,000.00	Facility		$616.60	$912.01	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $776.25 / $776.25	Professional		$309.03	$776.25	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,344.23	Facility		$1,202.26	$1,698.24	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $933.25 / $1,174.90	Professional		$891.25	$933.25	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $891.25 / $1,000.00	Professional		$851.14	$891.25	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $691.83 / $776.25	Facility		$426.58	$691.83	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $1,122.02	Professional		$323.59	$467.74	$1,122.02