Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $3,102.15 / $3,630.55	Facility		$771.56	$3,102.15	$3,630.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $794.70 / $2,100.00	Professional		$771.56	$794.70	$2,100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $1,256.09 / $2,831.63	Facility		$771.56	$1,256.09	$2,831.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $771.56 / $1,512.26	Facility		$771.56	$771.56	$1,512.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $727.88 / $727.88 / $771.56	Facility		$727.88	$727.88	$771.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $881.17 / $945.03 / $2,125.00	Professional		$881.17	$945.03	$2,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $1,071.47	Professional		$771.56	$771.56	$1,071.47