Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.66 / $803.66 / $1,721.56	Facility		$803.66	$803.66	$1,721.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.66 / $820.06 / $1,005.12	Professional		$803.66	$820.06	$1,005.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $798.00 / $1,276.80 / $2,928.66	Facility		$798.00	$1,276.80	$2,928.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $642.40 / $1,464.44	Professional		$64.00	$642.40	$1,464.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $837.90 / $1,783.46	Facility		$63.84	$837.90	$1,783.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $293.45 / $1,047.11	Professional		$293.45	$293.45	$1,047.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $662.34 / $877.80	Professional		$98.34	$662.34	$877.80
United Facility/Professional Professional Modifier Low / Median / High Price $489.89 / $1,306.36 / $2,020.86	Professional		$489.89	$1,306.36	$2,020.86