Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $393.87 / $705.06	Facility		$392.09	$393.87	$705.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $396.01 / $561.26	Professional		$392.09	$396.01	$561.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $627.34 / $1,438.97	Facility		$392.09	$627.34	$1,438.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.02 / $392.09 / $392.09	Professional		$347.02	$392.09	$392.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $392.09 / $771.20	Facility		$392.09	$392.09	$771.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $369.90 / $395.26	Facility		$369.90	$369.90	$395.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $401.08	Professional		$392.09	$392.09	$401.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.19 / $392.37 / $542.13	Professional		$193.19	$392.37	$542.13
United Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $392.09 / $433.83	Professional		$156.84	$392.09	$433.83