Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.76 / $780.27 / $927.29	Facility		$334.76	$780.27	$927.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.80 / $397.69 / $437.96	Professional		$266.80	$397.69	$437.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.94 / $503.40 / $645.53	Facility		$47.94	$503.40	$645.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $28.88 / $503.40	Professional		$21.66	$28.88	$503.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $704.76 / $1,081.95	Facility		$327.20	$704.76	$1,081.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.41 / $1,107.48 / $1,397.47	Facility		$654.41	$1,107.48	$1,397.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.20 / $613.72 / $767.15	Professional		$578.20	$613.72	$767.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.74 / $578.91 / $654.41	Professional		$553.74	$578.91	$654.41
United Facility/Professional Professional Modifier Low / Median / High Price $221.50 / $302.04 / $629.25	Professional		$221.50	$302.04	$629.25