Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.09 / $665.09 / $1,883.96	Facility		$665.09	$665.09	$1,883.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.09 / $801.07 / $1,064.14	Professional		$665.09	$801.07	$1,064.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,596.58 / $2,235.21 / $5,859.45	Facility		$1,596.58	$2,235.21	$5,859.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.60 / $1,327.52 / $2,548.84	Professional		$858.60	$1,327.52	$2,548.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,317.42 / $1,357.09 / $2,953.67	Facility		$1,317.42	$1,357.09	$2,953.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,357.09 / $1,357.09 / $1,357.09	Professional		$1,357.09	$1,357.09	$1,357.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $886.63	Facility		$886.63	$886.63	$886.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $886.63 / $1,840.88	Professional		$647.24	$886.63	$1,840.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,213.40 / $1,596.58 / $2,218.48	Professional		$1,213.40	$1,596.58	$2,218.48
United Facility/Professional Professional Modifier Low / Median / High Price $554.27 / $796.51 / $1,559.16	Professional		$554.27	$796.51	$1,559.16