Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.88 / $478.88 / $1,356.48	Facility		$478.88	$478.88	$1,356.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.88 / $680.00 / $790.51	Professional		$478.88	$680.00	$790.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,149.56 / $1,609.38 / $4,218.89	Facility		$1,149.56	$1,609.38	$4,218.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.85 / $955.84 / $1,835.21	Professional		$612.85	$955.84	$1,835.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.13 / $1,176.58 / $2,126.69	Facility		$977.13	$1,176.58	$2,126.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $977.13 / $977.13 / $977.13	Professional		$977.13	$977.13	$977.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.43 / $895.43 / $895.43	Facility		$895.43	$895.43	$895.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $876.18 / $1,489.71	Professional		$653.66	$876.18	$1,489.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $873.67 / $1,149.56 / $1,597.25	Professional		$873.67	$1,149.56	$1,597.25
United Facility/Professional Professional Modifier Low / Median / High Price $435.52 / $573.50 / $946.15	Professional		$435.52	$573.50	$946.15