Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.51 / $596.51 / $1,593.34	Facility		$596.51	$596.51	$1,593.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.20 / $717.60 / $852.15	Professional		$538.20	$717.60	$852.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $897.00 / $1,150.26	Facility		$21.59	$897.00	$1,150.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $10.28 / $897.00	Professional		$7.71	$10.28	$897.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $809.99 / $897.00 / $1,435.20	Facility		$809.99	$897.00	$1,435.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,410.98 / $1,973.40 / $2,489.29	Facility		$1,410.98	$1,973.40	$2,489.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.84 / $1,093.21 / $1,366.51	Professional		$1,030.84	$1,093.21	$1,366.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $986.70 / $1,031.55 / $1,166.09	Professional		$986.70	$1,031.55	$1,166.09
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $538.20 / $915.03	Professional		$376.74	$538.20	$915.03