Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,584.89 / $2,511.89	Facility		$602.56	$1,584.89	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $870.96	Professional		$602.56	$691.83	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $891.25 / $1,148.15	Facility		$20.42	$891.25	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $891.25 / $891.25	Professional		$10.23	$891.25	$891.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,754.23	Facility		$1,412.54	$1,995.26	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,380.38	Professional		$1,023.29	$1,096.48	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,174.90	Professional		$977.24	$1,023.29	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $812.83 / $891.25	Facility		$489.78	$812.83	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,288.25	Professional		$380.19	$537.03	$1,288.25