Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.30 / $303.30 / $2,368.15	Facility		$303.30	$303.30	$2,368.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $303.30 / $303.30	Professional		$292.33	$303.30	$303.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.06 / $333.84 / $752.57	Facility		$205.06	$333.84	$752.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.77 / $347.15 / $448.58	Professional		$288.77	$347.15	$448.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $319.74 / $626.70	Facility		$310.61	$319.74	$626.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Facility		$310.61	$310.61	$310.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Professional		$310.61	$310.61	$310.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.22 / $617.76 / $617.76	Professional		$258.22	$617.76	$617.76
United Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $448.58	Professional		$298.30	$298.30	$448.58