Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $519.52 / $763.69	Facility		$508.96	$519.52	$763.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $514.04 / $628.62	Professional		$508.96	$514.04	$628.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $828.59 / $1,867.88	Facility		$508.96	$828.59	$1,867.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.16 / $508.96 / $508.96	Professional		$407.16	$508.96	$508.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $508.96 / $997.56	Facility		$508.96	$508.96	$997.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.15 / $480.15 / $508.96	Facility		$480.15	$480.15	$508.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.30 / $189.30 / $540.82	Professional		$189.30	$189.30	$540.82
United Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $555.94	Professional		$508.96	$508.96	$555.94