Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.56 / $758.56 / $758.56	Facility		$758.56	$758.56	$758.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.14 / $758.56 / $758.56	Professional		$731.14	$758.56	$758.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.17 / $761.61 / $1,365.86	Facility		$372.17	$761.61	$1,365.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $822.54 / $868.23	Professional		$761.61	$822.54	$868.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $799.69 / $1,559.44	Facility		$776.84	$799.69	$1,559.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Facility		$776.84	$776.84	$776.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $1,553.68	Professional		$776.84	$776.84	$1,553.68
United Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $913.93	Professional		$761.61	$761.61	$913.93