Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.51 / $496.74 / $729.87	Facility		$496.51	$496.74	$729.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.51 / $496.74 / $600.78	Professional		$496.51	$496.74	$600.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $808.69 / $1,823.04	Facility		$496.74	$808.69	$1,823.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $539.49 / $539.49	Professional		$496.74	$539.49	$539.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $496.74 / $973.61	Facility		$496.74	$496.74	$973.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.62 / $468.62 / $496.74	Facility		$468.62	$468.62	$496.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $496.74	Professional		$496.74	$496.74	$496.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.97 / $526.44 / $544.47	Professional		$494.97	$526.44	$544.47
United Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $567.88	Professional		$496.74	$496.74	$567.88