Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,778.28 / $20,892.96	Facility		$758.58	$1,778.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,412.54	Professional		$676.08	$812.83	$1,412.54
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 $912.01 / $1,318.26 / $1,995.26	Professional		$912.01	$1,318.26	$1,995.26
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 $1,122.02 / $1,122.02 / $2,511.89	Facility		$1,122.02	$1,122.02	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,862.09	Professional		$812.83	$812.83	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,884.03	Professional		$1,071.52	$1,621.81	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $954.99	Facility		$446.68	$691.83	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,380.38	Professional		$537.03	$776.25	$1,380.38