Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.79 / $526.79 / $1,407.14	Facility		$526.79	$526.79	$1,407.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.30 / $625.82 / $728.80	Professional		$475.30	$625.82	$728.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.86 / $792.17 / $1,015.84	Facility		$422.86	$792.17	$1,015.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $201.36 / $792.17	Professional		$151.02	$201.36	$792.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $514.91 / $1,109.04 / $1,702.61	Facility		$514.91	$1,109.04	$1,702.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,246.08 / $1,742.77 / $2,239.67	Facility		$1,246.08	$1,742.77	$2,239.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.13 / $910.25 / $1,137.82	Professional		$792.13	$910.25	$1,137.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $871.39 / $911.00 / $1,029.82	Professional		$871.39	$911.00	$1,029.82
United Facility/Professional Professional Modifier Low / Median / High Price $348.55 / $475.30 / $792.17	Professional		$348.55	$475.30	$792.17