Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.12 / $776.12 / $776.12	Facility		$776.12	$776.12	$776.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.07 / $776.12 / $776.12	Professional		$748.07	$776.12	$776.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $779.24 / $845.48 / $845.48	Facility		$779.24	$845.48	$845.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.39 / $756.54 / $779.24	Professional		$623.39	$756.54	$779.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $818.20 / $1,603.68	Facility		$794.83	$818.20	$1,603.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Facility		$794.83	$794.83	$794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.26 / $764.26 / $764.26	Professional		$764.26	$764.26	$764.26