Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,258.93	Facility		$489.78	$489.78	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $933.25	Professional		$478.63	$575.44	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,511.89 / $3,890.45	Facility		$1,047.13	$2,511.89	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,318.26	Professional		$549.54	$851.14	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,778.28	Facility		$758.58	$758.58	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,258.93	Professional		$549.54	$549.54	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,819.70	Professional		$724.44	$1,047.13	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $645.65	Facility		$302.00	$478.63	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $891.25	Professional		$346.74	$512.86	$891.25