Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.79 / $776.79 / $776.79	Facility		$776.79	$776.79	$776.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.79 / $922.92 / $1,386.08	Professional		$776.79	$922.92	$1,386.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $1,535.10 / $3,512.29	Professional		$125.07	$1,535.10	$3,512.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.34 / $184.62 / $2,184.38	Facility		$156.34	$184.62	$2,184.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $161.81 / $161.81	Professional		$161.81	$161.81	$161.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $144.13	Professional		$91.49	$107.63	$144.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.57 / $314.57 / $324.02	Professional		$314.57	$314.57	$324.02
United Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $92.11 / $808.54	Professional		$61.40	$92.11	$808.54