Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.80 / $796.80 / $21,256.73	Facility		$796.80	$796.80	$21,256.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.20 / $796.80 / $1,440.00	Professional		$787.20	$796.80	$1,440.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $868.00 / $1,859.84 / $4,192.64	Facility		$868.00	$1,859.84	$4,192.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $912.00 / $1,436.66	Professional		$800.00	$912.00	$1,436.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $840.00 / $1,646.40	Facility		$816.00	$840.00	$1,646.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $2,656.48	Professional		$66.00	$66.00	$2,656.48
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,433.20	Professional		$800.00	$800.00	$1,433.20