Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.80 / $478.80 / $1,278.94	Facility		$478.80	$478.80	$1,278.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $561.60 / $669.60	Professional		$381.60	$561.60	$669.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.59 / $720.00 / $923.29	Facility		$438.59	$720.00	$923.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.67 / $228.90 / $907.20	Professional		$171.67	$228.90	$907.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $1,152.00	Facility		$720.00	$720.00	$1,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $1,584.00 / $1,584.00	Facility		$936.00	$1,584.00	$1,584.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.24 / $877.63 / $1,097.04	Professional		$827.24	$877.63	$1,097.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.00 / $828.00 / $936.00	Professional		$792.00	$828.00	$936.00
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $648.00 / $648.00	Facility		$648.00	$648.00	$648.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $734.47	Professional		$302.39	$432.00	$734.47