Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,202.26	Professional		$724.44	$870.96	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $1,318.26 / $1,949.84	Professional		$131.83	$1,318.26	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,096.48 / $1,949.84	Facility		$144.54	$1,096.48	$1,949.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $1,096.48 / $1,445.44	Professional		$144.54	$1,096.48	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,995.26	Professional		$954.99	$1,122.02	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $3,548.13	Professional		$1,288.25	$1,737.80	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $588.84 / $1,174.90	Facility		$72.44	$588.84	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $1,584.89	Professional		$549.54	$870.96	$1,584.89