Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.58 / $560.58 / $1,587.90	Facility		$560.58	$560.58	$1,587.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.58 / $796.02 / $985.63	Professional		$560.58	$796.02	$985.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,345.68 / $1,883.95 / $4,938.64	Facility		$1,345.68	$1,883.95	$4,938.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.43 / $1,118.91 / $2,148.31	Professional		$717.43	$1,118.91	$2,148.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,143.83 / $1,164.75 / $2,489.51	Facility		$1,143.83	$1,164.75	$2,489.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,143.83 / $1,143.83 / $1,143.83	Professional		$1,143.83	$1,143.83	$1,143.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.50 / $870.50 / $870.50	Facility		$870.50	$870.50	$870.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.47 / $851.81 / $1,560.00	Professional		$635.47	$851.81	$1,560.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,022.72 / $1,345.68 / $1,869.23	Professional		$1,022.72	$1,345.68	$1,869.23
United Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $671.35 / $1,118.91	Professional		$447.56	$671.35	$1,118.91