Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $346.19 / $508.90	Facility		$346.11	$346.19	$508.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $349.56 / $418.89	Professional		$346.11	$349.56	$418.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $563.47 / $1,270.22	Facility		$346.11	$563.47	$1,270.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $346.11 / $678.38	Facility		$346.11	$346.11	$678.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.52 / $326.52 / $346.11	Facility		$326.52	$326.52	$346.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.58 / $641.00 / $992.00	Professional		$317.58	$641.00	$992.00
United Facility/Professional Facility Modifier Low / Median / High Price $360.39 / $934.97 / $934.97	Facility		$360.39	$934.97	$934.97
United Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $381.56	Professional		$346.11	$346.11	$381.56