Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $436.51 / $641.66	Facility		$432.02	$436.51	$641.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $436.34 / $528.17	Professional		$432.02	$436.34	$528.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $703.33 / $1,585.51	Facility		$432.02	$703.33	$1,585.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.61 / $432.02 / $432.02	Professional		$345.61	$432.02	$432.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $432.02 / $846.76	Facility		$432.02	$432.02	$846.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $407.57 / $432.02	Facility		$407.57	$407.57	$432.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $73.76 / $434.09	Professional		$73.76	$73.76	$434.09
United Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $545.86	Professional		$432.02	$432.02	$545.86