Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.08 / $3,443.47 / $3,601.90	Facility		$639.08	$3,443.47	$3,601.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.08 / $907.49 / $1,104.01	Professional		$639.08	$907.49	$1,104.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,534.15 / $2,147.81 / $5,630.33	Facility		$1,534.15	$2,147.81	$5,630.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.89 / $1,275.60 / $2,449.17	Professional		$817.89	$1,275.60	$2,449.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,242.05 / $1,643.19 / $2,838.18	Facility		$1,242.05	$1,643.19	$2,838.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,304.03 / $1,304.03 / $1,304.03	Professional		$1,304.03	$1,304.03	$1,304.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.06 / $913.06 / $913.06	Facility		$913.06	$913.06	$913.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $913.06 / $1,952.53	Professional		$666.53	$913.06	$1,952.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,165.95 / $1,534.15 / $2,131.57	Professional		$1,165.95	$1,534.15	$2,131.57
United Facility/Professional Professional Modifier Low / Median / High Price $570.79 / $765.37 / $1,262.70	Professional		$570.79	$765.37	$1,262.70