Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.11 / $426.79 / $507.22	Facility		$183.11	$426.79	$507.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.44 / $245.44 / $633.30	Professional		$245.44	$245.44	$633.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.16 / $275.35 / $353.10	Facility		$105.16	$275.35	$353.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $63.35 / $275.35	Professional		$63.35	$63.35	$275.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.35 / $399.26 / $591.82	Facility		$275.35	$399.26	$591.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.96 / $605.77 / $849.52	Facility		$357.96	$605.77	$849.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,550.49 / $1,550.49 / $1,550.49	Professional		$1,550.49	$1,550.49	$1,550.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.82 / $357.96 / $2,145.88	Professional		$247.82	$357.96	$2,145.88
United Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $165.21 / $500.34	Professional		$115.65	$165.21	$500.34