Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.68 / $494.68 / $1,175.06	Facility		$494.68	$494.68	$1,175.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.68 / $604.41 / $928.16	Professional		$494.68	$604.41	$928.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.67 / $1,458.34 / $3,822.93	Facility		$1,041.67	$1,458.34	$3,822.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.35 / $866.13 / $1,662.97	Professional		$555.35	$866.13	$1,662.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $885.42 / $943.38 / $1,927.09	Facility		$885.42	$943.38	$1,927.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $885.42 / $885.42 / $885.42	Professional		$885.42	$885.42	$885.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $740.83	Facility		$740.83	$740.83	$740.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $665.46 / $1,218.75	Professional		$540.80	$665.46	$1,218.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.67 / $1,041.67 / $1,572.85	Professional		$791.67	$1,041.67	$1,572.85
United Facility/Professional Professional Modifier Low / Median / High Price $346.45 / $519.67 / $857.37	Professional		$346.45	$519.67	$857.37