Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.78 / $678.78 / $765.07	Professional		$678.78	$678.78	$765.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.74 / $1,051.47 / $1,051.47	Professional		$893.74	$1,051.47	$1,051.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $803.25 / $803.25 / $803.25	Facility		$803.25	$803.25	$803.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.83 / $536.83 / $536.83	Facility		$536.83	$536.83	$536.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.31 / $536.83 / $536.83	Professional		$456.31	$536.83	$536.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,323.00 / $2,323.00 / $2,323.00	Professional		$2,323.00	$2,323.00	$2,323.00