Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.80 / $308.68 / $451.00	Facility		$306.80	$308.68	$451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $308.68 / $371.23	Professional		$306.80	$308.68	$371.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $502.53 / $1,132.85	Facility		$308.68	$502.53	$1,132.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $308.68 / $605.01	Facility		$308.68	$308.68	$605.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $291.20 / $308.68	Facility		$291.20	$291.20	$308.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.42 / $352.00 / $546.00	Professional		$241.42	$352.00	$546.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $356.40	Professional		$308.68	$308.68	$356.40