Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.64 / $384.85 / $561.01	Facility		$381.64	$384.85	$561.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.64 / $384.85 / $461.78	Professional		$381.64	$384.85	$461.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $626.54 / $1,412.40	Facility		$384.85	$626.54	$1,412.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.03 / $384.85 / $384.85	Professional		$376.03	$384.85	$384.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $384.85 / $754.31	Facility		$384.85	$384.85	$754.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $363.06 / $384.85	Facility		$363.06	$363.06	$384.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.23 / $1,928.00 / $2,987.00	Professional		$414.23	$1,928.00	$2,987.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $407.94 / $492.61	Professional		$384.85	$407.94	$492.61