Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.26 / $320.26 / $1,790.88	Facility		$320.26	$320.26	$1,790.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.26 / $429.14 / $572.21	Professional		$320.26	$429.14	$572.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.87 / $639.24 / $1,227.33	Professional		$409.87	$639.24	$1,227.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.21 / $697.52 / $1,422.30	Facility		$600.21	$697.52	$1,422.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $653.49 / $653.49 / $653.49	Professional		$653.49	$653.49	$653.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.54 / $502.54 / $502.54	Facility		$502.54	$502.54	$502.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $427.16 / $951.38	Professional		$427.16	$427.16	$951.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.29 / $768.81 / $1,276.44	Professional		$584.29	$768.81	$1,276.44
United Facility/Professional Professional Modifier Low / Median / High Price $255.70 / $383.54 / $639.24	Professional		$255.70	$383.54	$639.24