Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.98 / $996.81 / $1,508.91	Professional		$838.98	$996.81	$1,508.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,851.99 / $1,851.99 / $1,851.99	Facility		$1,851.99	$1,851.99	$1,851.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $1,468.86 / $3,266.64	Professional		$148.53	$1,468.86	$3,266.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $1,180.64 / $2,261.52	Facility		$153.44	$1,180.64	$2,261.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $1,180.64 / $1,574.19	Professional		$157.41	$1,180.64	$1,574.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $1,674.92	Facility		$1,217.05	$1,217.05	$1,674.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.49 / $1,217.05 / $2,685.94	Professional		$1,034.49	$1,217.05	$2,685.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,407.51 / $1,851.99 / $4,646.00	Professional		$1,407.51	$1,851.99	$4,646.00
United Facility/Professional Professional Modifier Low / Median / High Price $720.76 / $1,080.96 / $1,933.50	Professional		$720.76	$1,080.96	$1,933.50