Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.15 / $642.15 / $1,818.97	Facility		$642.15	$642.15	$1,818.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.15 / $911.85 / $1,027.44	Professional		$642.15	$911.85	$1,027.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,541.50 / $2,158.10 / $5,657.31	Facility		$1,541.50	$2,158.10	$5,657.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.78 / $1,387.35 / $2,460.92	Professional		$932.78	$1,387.35	$2,460.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,310.28 / $1,541.50 / $3,021.34	Facility		$1,310.28	$1,541.50	$3,021.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,310.28 / $1,310.28 / $1,310.28	Professional		$1,310.28	$1,310.28	$1,310.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $963.22	Facility		$963.22	$963.22	$963.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $963.22 / $2,064.00	Professional		$703.15	$963.22	$2,064.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,171.54 / $1,541.50 / $2,141.73	Professional		$1,171.54	$1,541.50	$2,141.73
United Facility/Professional Professional Modifier Low / Median / High Price $602.15 / $769.04 / $1,268.78	Professional		$602.15	$769.04	$1,268.78