Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.38 / $546.29 / $778.19	Facility		$529.38	$546.29	$778.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $551.75 / $640.54	Professional		$546.29	$551.75	$640.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $889.36 / $2,004.88	Facility		$546.29	$889.36	$2,004.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $557.21	Professional		$546.29	$546.29	$557.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $546.29 / $1,070.73	Facility		$546.29	$546.29	$1,070.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.37 / $515.37 / $546.29	Facility		$515.37	$515.37	$546.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.21 / $970.34 / $970.34	Professional		$331.21	$970.34	$970.34
United Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $953.63	Professional		$546.29	$546.29	$953.63