Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,318.26 / $2,089.30	Facility		$501.19	$1,318.26	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $758.58	Professional		$501.19	$588.84	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $812.83 / $954.99	Facility		$537.03	$812.83	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $758.58 / $758.58	Professional		$338.84	$758.58	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,290.87	Facility		$1,174.90	$1,659.59	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $1,148.15	Professional		$870.96	$912.01	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $977.24	Professional		$831.76	$870.96	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $676.08 / $758.58	Facility		$416.87	$676.08	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $1,096.48	Professional		$316.23	$446.68	$1,096.48