Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.62 / $440.62 / $1,176.94	Facility		$440.62	$440.62	$1,176.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.55 / $530.05 / $609.57	Professional		$397.55	$530.05	$609.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.91 / $662.58 / $849.66	Facility		$25.91	$662.58	$849.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $12.34 / $662.58	Professional		$9.25	$12.34	$662.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $430.68 / $927.61 / $1,424.08	Facility		$430.68	$927.61	$1,424.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.24 / $1,457.68 / $1,873.97	Facility		$1,042.24	$1,457.68	$1,873.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $761.16 / $951.45	Professional		$662.45	$761.16	$951.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $728.84 / $761.97 / $861.35	Professional		$728.84	$761.97	$861.35
United Facility/Professional Facility Modifier Low / Median / High Price $596.32 / $596.32 / $596.32	Facility		$596.32	$596.32	$596.32
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $397.55 / $675.90	Professional		$278.27	$397.55	$675.90