Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.51 / $270.51 / $270.51	Facility		$270.51	$270.51	$270.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.74 / $270.51 / $270.51	Professional		$260.74	$270.51	$270.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.93 / $455.73 / $1,027.33	Facility		$279.93	$455.73	$1,027.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $309.62 / $309.62	Professional		$271.60	$309.62	$309.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $285.18 / $558.95	Facility		$277.02	$285.18	$558.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Facility		$277.02	$277.02	$277.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.73 / $291.00 / $451.00	Professional		$215.73	$291.00	$451.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $325.92	Professional		$271.60	$271.60	$325.92