Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,584.89	Facility		$616.60	$616.60	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $1,148.15	Professional		$537.03	$616.60	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,090.30 / $4,786.30	Facility		$1,318.26	$3,090.30	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,621.81	Professional		$660.69	$1,071.52	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,949.84	Facility		$707.95	$707.95	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,380.38	Professional		$524.81	$524.81	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $2,187.76	Professional		$812.83	$1,318.26	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $524.81 / $724.44	Facility		$338.84	$524.81	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,122.02	Professional		$426.58	$616.60	$1,122.02