Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.70 / $624.70 / $1,483.93	Facility		$624.70	$624.70	$1,483.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.92 / $789.10 / $1,183.65	Professional		$621.92	$789.10	$1,183.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,315.46 / $1,841.64 / $4,827.74	Facility		$1,315.46	$1,841.64	$4,827.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.31 / $1,093.78 / $2,100.06	Professional		$701.31	$1,093.78	$2,100.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,118.14 / $1,187.83 / $2,433.60	Facility		$1,118.14	$1,187.83	$2,433.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,118.14 / $1,118.14 / $1,118.14	Professional		$1,118.14	$1,118.14	$1,118.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $830.86	Facility		$830.86	$830.86	$830.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $830.86 / $1,539.38	Professional		$606.53	$830.86	$1,539.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $999.75 / $1,315.46 / $1,985.82	Professional		$999.75	$1,315.46	$1,985.82
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $437.51 / $656.27 / $1,082.73	Professional		$437.51	$656.27	$1,082.73