Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.99 / $541.99 / $1,287.44	Facility		$541.99	$541.99	$1,287.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.99 / $684.62 / $1,019.38	Professional		$541.99	$684.62	$1,019.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,141.28 / $1,597.79 / $4,188.50	Facility		$1,141.28	$1,597.79	$4,188.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.45 / $948.96 / $1,822.00	Professional		$608.45	$948.96	$1,822.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $970.09 / $1,109.33 / $2,111.37	Facility		$970.09	$1,109.33	$2,111.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $970.09 / $970.09 / $970.09	Professional		$970.09	$970.09	$970.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $713.15 / $713.15	Facility		$713.15	$713.15	$713.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $713.14 / $1,513.13	Professional		$520.60	$713.14	$1,513.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.37 / $1,141.28 / $1,723.32	Professional		$867.37	$1,141.28	$1,723.32
United Facility/Professional Professional Modifier Low / Median / High Price $379.58 / $569.38 / $987.51	Professional		$379.58	$569.38	$987.51