Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.45 / $517.45 / $1,229.15	Facility		$517.45	$517.45	$1,229.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.45 / $653.62 / $865.60	Professional		$517.45	$653.62	$865.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,089.60 / $1,525.45 / $3,998.87	Facility		$1,089.60	$1,525.45	$3,998.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.90 / $905.99 / $1,739.50	Professional		$580.90	$905.99	$1,739.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $926.17 / $1,180.20 / $2,015.78	Facility		$926.17	$1,180.20	$2,015.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $926.17 / $926.17 / $926.17	Professional		$926.17	$926.17	$926.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $680.86	Facility		$680.86	$680.86	$680.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $680.86 / $1,456.11	Professional		$497.03	$680.86	$1,456.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $828.10 / $1,089.60 / $1,645.34	Professional		$828.10	$1,089.60	$1,645.34
United Facility/Professional Facility Modifier Low / Median / High Price $341.71 / $493.58 / $616.42	Facility		$341.71	$493.58	$616.42
United Facility/Professional Professional Modifier Low / Median / High Price $362.40 / $543.59 / $896.84	Professional		$362.40	$543.59	$896.84