Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.20 / $292.00 / $292.00	Professional		$248.20	$292.00	$292.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.55 / $206.55 / $206.55	Facility		$206.55	$206.55	$206.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Facility		$424.00	$424.00	$424.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $424.00 / $436.72	Professional		$360.40	$424.00	$436.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,829.00 / $2,829.00 / $2,829.00	Professional		$2,829.00	$2,829.00	$2,829.00