Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $329.10 / $483.78	Facility		$329.05	$329.10	$483.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.10 / $398.21	Professional		$329.05	$329.10	$398.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $535.69 / $1,207.60	Facility		$329.05	$535.69	$1,207.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $329.05 / $644.94	Facility		$329.05	$329.05	$644.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.43 / $310.43 / $329.05	Facility		$310.43	$310.43	$329.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.81 / $744.00 / $1,152.00	Professional		$349.81	$744.00	$1,152.00
United Facility/Professional Facility Modifier Low / Median / High Price $337.98 / $876.84 / $876.84	Facility		$337.98	$876.84	$876.84
United Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $348.79	Professional		$329.05	$329.05	$348.79