Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $800.15 / $1,176.22	Facility		$796.09	$800.15	$1,176.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $968.18	Professional		$796.09	$796.09	$968.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $863.76 / $863.76	Facility		$796.09	$863.76	$863.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.95 / $796.09 / $796.09	Professional		$670.95	$796.09	$796.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $680.13 / $796.09 / $1,565.84	Facility		$680.13	$796.09	$1,565.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $676.68 / $676.68 / $676.68	Professional		$676.68	$676.68	$676.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.03 / $751.03 / $796.09	Facility		$751.03	$751.03	$796.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $806.51	Professional		$796.09	$796.09	$806.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.12 / $836.17 / $1,216.24	Professional		$608.12	$836.17	$1,216.24
United Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $796.09 / $1,059.68	Professional		$318.44	$796.09	$1,059.68