Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $558.55 / $821.08	Facility		$558.46	$558.55	$821.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.55 / $675.86	Professional		$558.46	$558.55	$675.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $909.17 / $2,049.55	Facility		$558.46	$909.17	$2,049.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.99 / $558.46 / $558.46	Professional		$487.99	$558.46	$558.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $558.46 / $1,094.58	Facility		$558.46	$558.46	$1,094.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.85 / $526.85 / $558.46	Facility		$526.85	$526.85	$558.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.89 / $598.30 / $598.30	Professional		$542.89	$598.30	$598.30
United Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $681.19	Professional		$558.46	$558.46	$681.19