Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.75 / $498.75 / $1,332.22	Facility		$498.75	$498.75	$1,332.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $592.50 / $712.50	Professional		$450.00	$592.50	$712.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.43 / $750.00 / $961.76	Facility		$488.43	$750.00	$961.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.19 / $336.26 / $997.50	Professional		$252.19	$336.26	$997.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $1,200.00	Facility		$750.00	$750.00	$1,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $1,650.00 / $1,650.00	Facility		$975.00	$1,650.00	$1,650.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.93 / $913.97 / $1,142.46	Professional		$861.93	$913.97	$1,142.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $862.50 / $975.00	Professional		$825.00	$862.50	$975.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $1,312.88	Professional		$315.00	$450.00	$1,312.88