Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $464.38 / $1,022.45	Facility		$257.99	$464.38	$1,022.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $271.57 / $438.58	Professional		$257.99	$271.57	$438.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $300.69 / $946.82	Facility		$257.99	$300.69	$946.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.19 / $232.19 / $232.19	Professional		$232.19	$232.19	$232.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $257.99 / $505.66	Facility		$257.99	$257.99	$505.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $371.00 / $385.00	Professional		$214.62	$371.00	$385.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $271.57 / $357.50	Professional		$257.99	$271.57	$357.50