Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $691.83	Professional		$389.05	$478.63	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $537.03 / $912.01	Professional		$74.13	$537.03	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $851.14 / $1,202.26	Facility		$181.97	$851.14	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $954.99	Professional		$575.44	$851.14	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $269.15 / $467.74	Facility		$35.48	$269.15	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $707.95	Professional		$257.04	$389.05	$707.95