Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,949.84	Facility		$758.58	$758.58	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,445.44	Professional		$724.44	$933.25	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,890.45 / $6,025.60	Facility		$1,621.81	$3,890.45	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $2,187.76	Professional		$870.96	$1,348.96	$2,187.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,884.03	Facility		$1,023.29	$1,023.29	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $2,089.30	Professional		$741.31	$741.31	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,454.71	Professional		$1,148.15	$1,621.81	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $1,071.52	Facility		$501.19	$776.25	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,548.82	Professional		$537.03	$794.33	$1,548.82