Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.22 / $2,784.91 / $4,499.85	Facility		$312.22	$2,784.91	$4,499.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.22 / $449.59 / $884.40	Professional		$312.22	$449.59	$884.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.97 / $623.19 / $1,206.52	Professional		$430.97	$623.19	$1,206.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $637.07 / $849.41 / $1,386.56	Facility		$637.07	$849.41	$1,386.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $637.07 / $637.07 / $637.07	Professional		$637.07	$637.07	$637.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.06 / $666.06 / $666.06	Facility		$666.06	$666.06	$666.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $566.15 / $1,049.28	Professional		$566.15	$566.15	$1,049.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.61 / $749.49 / $1,361.75	Professional		$569.61	$749.49	$1,361.75
United Facility/Professional Professional Modifier Low / Median / High Price $249.28 / $373.91 / $616.88	Professional		$249.28	$373.91	$616.88