Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $359.19 / $29,521.04	Facility		$359.09	$359.19	$29,521.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $362.78 / $434.50	Professional		$359.19	$362.78	$434.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.19 / $584.76 / $1,318.23	Facility		$359.19	$584.76	$1,318.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.88 / $359.19 / $359.19	Professional		$315.88	$359.19	$359.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $359.19 / $359.19 / $704.01	Facility		$359.19	$359.19	$704.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.86 / $338.86 / $359.19	Facility		$338.86	$338.86	$359.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Professional		$359.19	$359.19	$359.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.81 / $792.00 / $985.00	Professional		$381.81	$792.00	$985.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $397.59	Professional		$359.19	$359.19	$397.59