Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,862.09 / $3,630.78	Facility		$645.65	$1,862.09	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,412.54	Professional		$645.65	$870.96	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,715.35 / $5,754.40	Facility		$1,548.82	$3,715.35	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,995.26	Professional		$812.83	$1,288.25	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $2,570.40	Facility		$912.01	$912.01	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,862.09	Professional		$660.69	$660.69	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,137.96	Professional		$1,096.48	$1,548.82	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,023.29 / $1,148.15	Facility		$562.34	$1,023.29	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,318.26	Professional		$512.86	$758.58	$1,318.26