Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.70 / $632.70 / $1,502.93	Facility		$632.70	$632.70	$1,502.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.70 / $799.20 / $1,055.77	Professional		$632.70	$799.20	$1,055.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.31 / $1,865.23 / $4,889.58	Facility		$1,332.31	$1,865.23	$4,889.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.30 / $1,107.79 / $2,126.96	Professional		$710.30	$1,107.79	$2,126.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,132.46 / $1,291.55 / $2,464.77	Facility		$1,132.46	$1,291.55	$2,464.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,132.46 / $1,132.46 / $1,132.46	Professional		$1,132.46	$1,132.46	$1,132.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $832.50 / $832.50	Facility		$832.50	$832.50	$832.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $832.50 / $1,761.38	Professional		$607.73	$832.50	$1,761.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,012.56 / $1,332.31 / $2,011.09	Professional		$1,012.56	$1,332.31	$2,011.09
United Facility/Professional Professional Modifier Low / Median / High Price $450.56 / $664.67 / $1,482.84	Professional		$450.56	$664.67	$1,482.84