Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.24 / $675.24 / $675.24	Facility		$675.24	$675.24	$675.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.24 / $842.34 / $1,195.90	Professional		$675.24	$842.34	$1,195.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.59 / $1,057.75 / $2,629.39	Professional		$119.59	$1,057.75	$2,629.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.37 / $168.85 / $1,273.73	Facility		$127.37	$168.85	$1,273.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $132.52 / $132.52	Professional		$132.52	$132.52	$132.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $989.22 / $1,807.50	Professional		$122.53	$989.22	$1,807.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.27 / $1,302.73 / $5,034.00	Professional		$229.27	$1,302.73	$5,034.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.13 / $782.73 / $1,366.49	Professional		$522.13	$782.73	$1,366.49