Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.29 / $139.29 / $139.29	Facility		$139.29	$139.29	$139.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.29 / $176.46 / $236.01	Professional		$139.29	$176.46	$236.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.12 / $335.15 / $436.10	Professional		$317.12	$335.15	$436.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $480.40 / $480.40 / $480.40	Facility		$480.40	$480.40	$480.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $409.07	Facility		$409.07	$409.07	$409.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $347.71 / $421.34	Professional		$347.71	$347.71	$421.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.68 / $373.06 / $1,050.36	Professional		$218.68	$373.06	$1,050.36
United Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $296.20 / $444.63	Professional		$115.49	$296.20	$444.63