Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,288.25 / $1,995.26	Facility		$478.63	$1,288.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $691.83	Professional		$478.63	$549.54	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $776.25 / $933.25	Facility		$457.09	$776.25	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $724.44 / $724.44	Professional		$229.09	$724.44	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,187.76	Facility		$1,122.02	$1,584.89	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $1,096.48	Professional		$831.76	$870.96	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $933.25	Professional		$794.33	$831.76	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $724.44	Facility		$398.11	$645.65	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $1,047.13	Professional		$302.00	$436.52	$1,047.13