Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.77 / $863.49 / $1,321.58	Professional		$726.77	$863.49	$1,321.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,702.86 / $1,702.86 / $1,702.86	Facility		$1,702.86	$1,702.86	$1,702.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $1,306.29 / $2,830.09	Professional		$132.72	$1,306.29	$2,830.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.75 / $1,085.58 / $1,954.08	Facility		$144.75	$1,085.58	$1,954.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $1,085.58 / $1,447.43	Professional		$144.75	$1,085.58	$1,447.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,116.58	Facility		$1,116.58	$1,116.58	$1,116.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,116.58 / $1,974.00	Professional		$949.10	$1,116.58	$1,974.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,294.17 / $1,702.86 / $3,839.57	Professional		$1,294.17	$1,702.86	$3,839.57
United Facility/Professional Professional Modifier Low / Median / High Price $572.85 / $868.71 / $1,563.91	Professional		$572.85	$868.71	$1,563.91