Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Facility		$297.33	$297.33	$297.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $297.33 / $349.80	Professional		$297.33	$297.33	$349.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.79 / $339.74 / $364.38	Facility		$288.79	$339.74	$364.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $280.50 / $280.50	Professional		$280.50	$280.50	$280.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $306.08 / $599.91	Facility		$297.33	$306.08	$599.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Facility		$326.48	$326.48	$326.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $528.00 / $565.00	Professional		$229.50	$528.00	$565.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $349.80 / $416.06	Professional		$300.25	$349.80	$416.06