Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.72 / $707.72 / $707.72	Facility		$707.72	$707.72	$707.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.14 / $707.72 / $707.72	Professional		$682.14	$707.72	$707.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $283.24 / $710.56	Facility		$119.30	$283.24	$710.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.95 / $710.56 / $810.04	Professional		$467.95	$710.56	$810.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $746.09 / $1,462.33	Facility		$724.77	$746.09	$1,462.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Facility		$724.77	$724.77	$724.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.36 / $220.36 / $724.77	Professional		$220.36	$220.36	$724.77
United Facility/Professional Professional Modifier Low / Median / High Price $621.98 / $710.56 / $710.56	Professional		$621.98	$710.56	$710.56