Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.39 / $308.39 / $823.78	Facility		$308.39	$308.39	$823.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $308.39 / $431.30	Professional		$245.79	$308.39	$431.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $463.76 / $594.70	Facility		$4.28	$463.76	$594.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.58 / $463.76	Professional		$1.93	$2.58	$463.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $463.76 / $463.76 / $742.02	Facility		$463.76	$463.76	$742.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.83 / $1,020.27 / $1,287.44	Facility		$692.83	$1,020.27	$1,287.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.17 / $565.40 / $706.75	Professional		$533.17	$565.40	$706.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.14 / $533.32 / $602.89	Professional		$510.14	$533.32	$602.89
United Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $278.26 / $463.76	Professional		$194.78	$278.26	$463.76