Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $691.83 / $1,096.48	Facility		$257.04	$691.83	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $380.19	Professional		$257.04	$302.00	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $426.58 / $501.19	Facility		$239.88	$426.58	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $389.05	Professional		$204.17	$389.05	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $851.14 / $1,174.90	Facility		$602.56	$851.14	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $588.84	Professional		$446.68	$478.63	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $512.86	Professional		$426.58	$446.68	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $354.81 / $389.05	Facility		$213.80	$354.81	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $562.34	Professional		$165.96	$234.42	$562.34