Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.75 / $774.75 / $774.75	Facility		$774.75	$774.75	$774.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.74 / $774.75 / $774.75	Professional		$746.74	$774.75	$774.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.91 / $870.83 / $1,963.12	Facility		$534.91	$870.83	$1,963.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $840.09 / $886.76	Professional		$777.86	$840.09	$886.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $816.75 / $1,592.71	Facility		$793.42	$816.75	$1,592.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Facility		$793.42	$793.42	$793.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Professional		$793.42	$793.42	$793.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $1,586.84	Professional		$793.42	$793.42	$1,586.84
United Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $777.86 / $933.43	Professional		$777.86	$777.86	$933.43