Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.41 / $364.41 / $1,032.24	Facility		$364.41	$364.41	$1,032.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.41 / $517.46 / $594.25	Professional		$364.41	$517.46	$594.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $874.78 / $1,224.69 / $3,210.44	Facility		$874.78	$1,224.69	$3,210.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.37 / $727.36 / $1,396.53	Professional		$466.37	$727.36	$1,396.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $743.56 / $884.47 / $1,714.57	Facility		$743.56	$884.47	$1,714.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $743.56 / $743.56 / $743.56	Professional		$743.56	$743.56	$743.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $673.11	Facility		$673.11	$673.11	$673.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $658.66 / $1,191.89	Professional		$491.37	$658.66	$1,191.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $664.83 / $874.78 / $1,215.49	Professional		$664.83	$874.78	$1,215.49
United Facility/Professional Professional Modifier Low / Median / High Price $290.94 / $436.42 / $720.02	Professional		$290.94	$436.42	$720.02