Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.85 / $259.85 / $694.09	Facility		$259.85	$259.85	$694.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $308.69 / $371.21	Professional		$234.45	$308.69	$371.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.12 / $390.75 / $501.08	Facility		$96.12	$390.75	$501.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $45.77 / $390.75	Professional		$34.32	$45.77	$390.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.75 / $390.75 / $625.20	Facility		$390.75	$390.75	$625.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.65 / $859.65 / $1,084.29	Facility		$614.65	$859.65	$1,084.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $476.19 / $595.24	Professional		$448.93	$476.19	$595.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.83 / $449.36 / $507.98	Professional		$429.83	$449.36	$507.98
United Facility/Professional Facility Modifier Low / Median / High Price $351.68 / $351.68 / $351.68	Facility		$351.68	$351.68	$351.68
United Facility/Professional Professional Modifier Low / Median / High Price $171.93 / $234.45 / $390.75	Professional		$171.93	$234.45	$390.75