Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.95 / $339.95 / $908.05	Facility		$339.95	$339.95	$908.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.94 / $339.95 / $475.42	Professional		$270.94	$339.95	$475.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.39 / $511.20 / $655.53	Facility		$311.39	$511.20	$655.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.09 / $168.13 / $511.20	Professional		$126.09	$168.13	$511.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.20 / $511.20 / $817.92	Facility		$511.20	$511.20	$817.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.71 / $1,124.64 / $1,419.11	Facility		$763.71	$1,124.64	$1,419.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.29 / $623.22 / $779.03	Professional		$587.29	$623.22	$779.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.32 / $587.88 / $664.56	Professional		$562.32	$587.88	$664.56
United Facility/Professional Facility Modifier Low / Median / High Price $460.08 / $460.08 / $460.08	Facility		$460.08	$460.08	$460.08
United Facility/Professional Professional Modifier Low / Median / High Price $224.93 / $306.72 / $511.20	Professional		$224.93	$306.72	$511.20