Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.78 / $643.72 / $1,133.47	Facility		$237.78	$643.72	$1,133.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.78 / $286.05 / $343.26	Professional		$237.78	$286.05	$343.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.07 / $455.39 / $1,237.16	Facility		$258.07	$455.39	$1,237.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $176.57 / $572.60	Professional		$132.41	$176.57	$572.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $287.00 / $357.56 / $572.10	Facility		$287.00	$357.56	$572.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.81 / $786.63 / $1,102.40	Facility		$318.81	$786.63	$1,102.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $435.72 / $544.65	Professional		$220.74	$435.72	$544.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.72 / $464.83 / $630.36	Professional		$390.72	$464.83	$630.36
United Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $227.70 / $455.39	Professional		$191.26	$227.70	$455.39