Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $491.90 / $4,450.04	Facility		$474.84	$491.90	$4,450.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $479.59 / $595.20	Professional		$474.84	$479.59	$595.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $773.04 / $1,742.66	Facility		$474.84	$773.04	$1,742.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.38 / $474.84 / $474.84	Professional		$402.38	$474.84	$474.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $474.84 / $933.96	Facility		$474.84	$474.84	$933.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $447.96 / $474.84	Facility		$447.96	$447.96	$474.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $474.84	Professional		$474.84	$474.84	$474.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.74 / $826.37 / $826.37	Professional		$263.74	$826.37	$826.37
United Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $503.33 / $607.79	Professional		$474.84	$503.33	$607.79