Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.78 / $538.22 / $957.60	Facility		$337.78	$538.22	$957.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.78 / $486.40 / $1,039.02	Professional		$337.78	$486.40	$1,039.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.29 / $674.20 / $1,294.46	Professional		$432.29	$674.20	$1,294.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.34 / $812.15 / $1,500.05	Facility		$630.34	$812.15	$1,500.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $689.21 / $689.21 / $689.21	Professional		$689.21	$689.21	$689.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $451.71 / $451.71	Facility		$451.71	$451.71	$451.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $383.95 / $975.37	Professional		$383.95	$383.95	$975.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.24 / $810.84 / $1,325.49	Professional		$616.24	$810.84	$1,325.49
United Facility/Professional Professional Modifier Low / Median / High Price $303.41 / $404.52 / $674.20	Professional		$303.41	$404.52	$674.20