Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $237.10 / $12,619.80	Facility		$222.25	$237.10	$12,619.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $427.88	Professional		$222.25	$222.25	$427.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $259.02 / $815.66	Facility		$222.25	$259.02	$815.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $406.49	Professional		$222.25	$222.25	$406.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $222.25 / $435.61	Facility		$222.25	$222.25	$435.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $209.67 / $399.36	Facility		$209.67	$209.67	$399.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $399.36	Professional		$399.36	$399.36	$399.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $250.52 / $275.57	Professional		$250.52	$250.52	$275.57
United Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $388.94 / $427.88	Professional		$222.25	$388.94	$427.88