Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,288.25	Facility		$489.78	$489.78	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $933.25	Professional		$489.78	$549.54	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,511.89 / $3,890.45	Facility		$1,071.52	$2,511.89	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $1,412.54	Professional		$549.54	$870.96	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,905.46	Facility		$741.31	$741.31	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,258.93	Professional		$537.03	$537.03	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,584.89	Professional		$741.31	$1,071.52	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $831.76	Facility		$323.59	$512.86	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,023.29	Professional		$346.74	$524.81	$1,023.29