Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.81 / $305.81 / $816.85	Facility		$305.81	$305.81	$816.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.73 / $305.81 / $427.67	Professional		$243.73	$305.81	$427.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $459.86 / $589.70	Facility		$5.42	$459.86	$589.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.58 / $459.86	Professional		$1.93	$2.58	$459.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $459.86 / $459.86 / $735.78	Facility		$459.86	$459.86	$735.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.01 / $1,011.69 / $1,276.16	Facility		$687.01	$1,011.69	$1,276.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.64 / $560.44 / $700.55	Professional		$528.64	$560.44	$700.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.85 / $528.84 / $597.82	Professional		$505.85	$528.84	$597.82
United Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $275.92 / $469.10	Professional		$193.14	$275.92	$469.10