Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $891.25 / $1,949.84	Facility		$389.05	$891.25	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $575.44	Professional		$389.05	$467.74	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $812.83	Facility		$380.19	$630.96	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $758.58	Professional		$234.42	$331.13	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,778.28	Facility		$575.44	$1,122.02	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $707.95 / $891.25	Professional		$263.03	$707.95	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $1,096.48	Professional		$630.96	$660.69	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $524.81 / $575.44	Facility		$316.23	$524.81	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $831.76	Professional		$245.47	$346.74	$831.76