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 $660.69 / $776.25 / $1,445.44	Professional		$660.69	$776.25	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,801.89 / $5,888.44	Facility		$1,621.81	$3,801.89	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $1,995.26	Professional		$812.83	$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 $851.14 / $851.14 / $2,511.89	Facility		$851.14	$851.14	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,584.89	Professional		$630.96	$630.96	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,187.76	Professional		$1,023.29	$1,621.81	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $676.08 / $1,258.93	Facility		$426.58	$676.08	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,380.38	Professional		$524.81	$758.58	$1,380.38