Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $1,186.81 / $2,327.62	Facility		$313.68	$1,186.81	$2,327.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $313.68 / $521.53	Professional		$313.68	$313.68	$521.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $365.59 / $1,151.21	Facility		$313.68	$365.59	$1,151.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.75 / $422.19 / $422.19	Professional		$337.75	$422.19	$422.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $313.68 / $614.80	Facility		$313.68	$313.68	$614.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $295.92 / $486.76	Facility		$295.92	$295.92	$486.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $486.76 / $486.76	Professional		$486.76	$486.76	$486.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $227.18 / $360.56	Professional		$18.13	$227.18	$360.56
United Facility/Professional Facility Modifier Low / Median / High Price $355.71 / $355.71 / $355.71	Facility		$355.71	$355.71	$355.71
United Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $529.09 / $529.09	Professional		$340.89	$529.09	$529.09