Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.04 / $848.26 / $2,772.25	Facility		$577.04	$848.26	$2,772.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $598.91 / $698.23	Professional		$593.00	$598.91	$698.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $965.40 / $2,176.31	Facility		$593.00	$965.40	$2,176.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.40 / $740.05 / $740.05	Professional		$474.40	$740.05	$740.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $593.00 / $1,162.28	Facility		$593.00	$593.00	$1,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.44 / $559.44 / $593.00	Facility		$559.44	$559.44	$593.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Professional		$593.00	$593.00	$593.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.51 / $335.51 / $629.28	Professional		$335.51	$335.51	$629.28
United Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $779.00	Professional		$593.00	$593.00	$779.00