Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.62 / $789.26 / $937.98	Facility		$338.62	$789.26	$937.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.88 / $269.88 / $585.58	Professional		$269.88	$269.88	$585.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.07 / $509.20 / $652.96	Facility		$116.07	$509.20	$652.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $69.92 / $509.20	Professional		$52.44	$69.92	$509.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $330.98 / $712.88 / $1,094.43	Facility		$330.98	$712.88	$1,094.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.72 / $1,120.24 / $1,413.44	Facility		$760.72	$1,120.24	$1,413.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.22 / $620.74 / $775.93	Professional		$585.22	$620.74	$775.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $560.12 / $585.58 / $661.96	Professional		$560.12	$585.58	$661.96
United Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $305.52 / $891.35	Professional		$213.86	$305.52	$891.35