Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.03 / $559.03 / $1,493.24	Facility		$559.03	$559.03	$1,493.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.39 / $672.52 / $798.62	Professional		$504.39	$672.52	$798.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.49 / $912.88 / $1,692.54	Facility		$630.49	$912.88	$1,692.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.04 / $846.27 / $897.04	Professional		$580.04	$846.27	$897.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $546.41 / $1,176.91 / $1,806.81	Facility		$546.41	$1,176.91	$1,806.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,255.89 / $1,849.43 / $2,333.17	Facility		$1,255.89	$1,849.43	$2,333.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $1,024.65 / $1,280.81	Professional		$966.01	$1,024.65	$1,280.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.72 / $966.75 / $1,092.84	Professional		$924.72	$966.75	$1,092.84
United Facility/Professional Facility Modifier Low / Median / High Price $756.59 / $756.59 / $840.65	Facility		$756.59	$756.59	$840.65
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $504.39 / $840.65	Professional		$353.07	$504.39	$840.65