Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.02 / $529.26 / $770.31	Facility		$524.02	$529.26	$770.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.02 / $534.54 / $785.94	Professional		$524.02	$534.54	$785.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $861.64 / $1,942.38	Facility		$529.26	$861.64	$1,942.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $529.26 / $1,041.01	Facility		$529.26	$529.26	$1,041.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $499.30 / $529.26	Facility		$499.30	$499.30	$529.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.02 / $1,780.00 / $2,253.00	Professional		$579.02	$1,780.00	$2,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $704.50	Professional		$529.26	$529.26	$704.50