Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.46 / $508.46 / $508.46	Facility		$508.46	$508.46	$508.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $508.46 / $508.46	Professional		$490.08	$508.46	$508.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.91 / $878.97 / $1,981.47	Facility		$539.91	$878.97	$1,981.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $581.97 / $581.97	Professional		$510.50	$581.97	$581.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $536.03 / $1,050.60	Facility		$520.71	$536.03	$1,050.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Facility		$520.71	$520.71	$520.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $714.00 / $1,106.00	Professional		$520.71	$714.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $612.60	Professional		$510.50	$510.50	$612.60