Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $14,798.36 / $26,513.63	Facility		$279.85	$14,798.36	$26,513.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $279.85 / $402.26	Professional		$279.85	$279.85	$402.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $326.17 / $1,027.05	Facility		$279.85	$326.17	$1,027.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.91 / $335.22 / $335.22	Professional		$281.91	$335.22	$335.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $279.85 / $548.51	Facility		$279.85	$279.85	$548.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $264.01 / $375.45	Facility		$264.01	$264.01	$375.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.45 / $375.45 / $375.45	Professional		$375.45	$375.45	$375.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $205.78 / $330.60	Professional		$4.26	$205.78	$330.60
United Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $445.74 / $816.60	Professional		$279.85	$445.74	$816.60