Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.97 / $727.97 / $1,729.22	Facility		$727.97	$727.97	$1,729.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.97 / $809.24 / $1,021.71	Professional		$727.97	$809.24	$1,021.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,532.92 / $2,146.09 / $5,625.82	Facility		$1,532.92	$2,146.09	$5,625.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.98 / $1,274.58 / $2,447.21	Professional		$789.98	$1,274.58	$2,447.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.81 / $1,307.70 / $2,835.90	Facility		$1,258.81	$1,307.70	$2,835.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,302.98 / $1,302.98 / $1,302.98	Professional		$1,302.98	$1,302.98	$1,302.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $842.96	Facility		$842.96	$842.96	$842.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $842.96 / $1,783.50	Professional		$615.36	$842.96	$1,783.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,165.02 / $1,532.92 / $2,129.60	Professional		$1,165.02	$1,532.92	$2,129.60
United Facility/Professional Professional Modifier Low / Median / High Price $509.84 / $762.31 / $1,261.69	Professional		$509.84	$762.31	$1,261.69