Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.59 / $490.59 / $1,165.34	Facility		$490.59	$490.59	$1,165.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.59 / $586.42 / $820.67	Professional		$490.59	$586.42	$820.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,033.05 / $1,446.27 / $3,791.29	Facility		$1,033.05	$1,446.27	$3,791.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.76 / $858.96 / $1,649.20	Professional		$550.76	$858.96	$1,649.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $878.09 / $988.12 / $1,911.14	Facility		$878.09	$988.12	$1,911.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $878.09 / $878.09 / $878.09	Professional		$878.09	$878.09	$878.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $751.98	Facility		$751.98	$751.98	$751.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $1,347.75	Professional		$548.95	$548.95	$1,347.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $785.12 / $1,033.05 / $1,762.70	Professional		$785.12	$1,033.05	$1,762.70
United Facility/Professional Facility Modifier Low / Median / High Price $298.39 / $479.78 / $537.45	Facility		$298.39	$479.78	$537.45
United Facility/Professional Professional Modifier Low / Median / High Price $343.58 / $515.38 / $850.29	Professional		$343.58	$515.38	$850.29