Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.94 / $815.66 / $969.33	Facility		$349.94	$815.66	$969.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $278.89 / $631.48	Professional		$278.89	$278.89	$631.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.07 / $526.23 / $674.81	Facility		$116.07	$526.23	$674.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $69.92 / $526.23	Professional		$52.44	$69.92	$526.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.05 / $736.72 / $1,131.02	Facility		$342.05	$736.72	$1,131.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $786.17 / $1,157.71 / $1,460.47	Facility		$786.17	$1,157.71	$1,460.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.63 / $641.39 / $801.74	Professional		$604.63	$641.39	$801.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.85 / $605.16 / $684.10	Professional		$578.85	$605.16	$684.10
United Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $315.74 / $526.23	Professional		$221.02	$315.74	$526.23