Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.76 / $340.31 / $499.45	Facility		$339.76	$340.31	$499.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.76 / $340.31 / $411.11	Professional		$339.76	$340.31	$411.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $544.50 / $1,248.94	Facility		$340.31	$544.50	$1,248.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $347.11	Professional		$340.31	$340.31	$347.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $340.31 / $669.37	Facility		$340.31	$340.31	$669.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.05 / $321.05 / $340.31	Facility		$321.05	$321.05	$340.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $340.31	Professional		$340.31	$340.31	$340.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.91 / $366.55 / $23,930.72	Professional		$328.91	$366.55	$23,930.72
United Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $340.31 / $369.51	Professional		$136.12	$340.31	$369.51