Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.94 / $697.94 / $1,657.89	Facility		$697.94	$697.94	$1,657.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.94 / $862.74 / $1,143.15	Professional		$697.94	$862.74	$1,143.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,469.68 / $2,057.55 / $5,393.73	Facility		$1,469.68	$2,057.55	$5,393.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.53 / $1,222.01 / $2,346.26	Professional		$806.53	$1,222.01	$2,346.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,249.23 / $1,353.31 / $2,718.91	Facility		$1,249.23	$1,353.31	$2,718.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,249.23 / $1,249.23	Professional		$1,249.23	$1,249.23	$1,249.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $897.58	Facility		$897.58	$897.58	$897.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $1,919.37	Professional		$655.23	$655.23	$1,919.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,116.96 / $1,469.68 / $2,609.40	Professional		$1,116.96	$1,469.68	$2,609.40
United Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $957.27 / $957.27	Facility		$957.27	$957.27	$957.27
United Facility/Professional Professional Modifier Low / Median / High Price $488.80 / $733.21 / $1,209.66	Professional		$488.80	$733.21	$1,209.66