Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.43 / $495.55 / $978.97	Facility		$494.43	$495.55	$978.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.43 / $495.55 / $598.26	Professional		$494.43	$495.55	$598.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $806.76 / $1,818.67	Facility		$495.55	$806.76	$1,818.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $505.46	Professional		$495.55	$495.55	$505.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $495.55 / $971.28	Facility		$495.55	$495.55	$971.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $467.50 / $495.55	Facility		$467.50	$467.50	$495.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.84 / $1,704.00 / $2,640.00	Professional		$532.84	$1,704.00	$2,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $591.55	Professional		$495.55	$495.55	$591.55