Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,621.81	Facility		$630.96	$630.96	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,202.26	Professional		$630.96	$758.58	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,235.94 / $5,011.87	Facility		$1,348.96	$3,235.94	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,819.70	Professional		$707.95	$1,096.48	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $2,454.71	Facility		$831.76	$831.76	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,621.81	Professional		$602.56	$602.56	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,995.26	Professional		$954.99	$1,348.96	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $891.25	Facility		$416.87	$660.69	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,288.25	Professional		$446.68	$660.69	$1,288.25