Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.54 / $247.40 / $62,560.00	Facility		$242.54	$247.40	$62,560.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.44 / $247.40 / $278.92	Professional		$241.44	$247.40	$278.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.84 / $255.84 / $938.93	Facility		$255.84	$255.84	$938.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $256.85 / $271.12	Professional		$248.39	$256.85	$271.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $260.81 / $260.81	Facility		$253.36	$260.81	$260.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.21 / $253.36 / $253.36	Facility		$241.21	$253.36	$253.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.58 / $242.58 / $678.00	Professional		$242.58	$242.58	$678.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $322.39	Professional		$248.39	$248.39	$322.39