Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.48 / $455.48 / $1,290.20	Facility		$455.48	$455.48	$1,290.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.48 / $635.42 / $728.76	Professional		$455.48	$635.42	$728.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.39 / $1,530.75 / $4,012.74	Facility		$1,093.39	$1,530.75	$4,012.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.91 / $909.13 / $1,745.53	Professional		$582.91	$909.13	$1,745.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $929.38 / $1,093.39 / $2,143.04	Facility		$929.38	$1,093.39	$2,143.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $929.38 / $929.38 / $929.38	Professional		$929.38	$929.38	$929.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $719.79	Facility		$719.79	$719.79	$719.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $704.31 / $1,290.00	Professional		$525.45	$704.31	$1,290.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $830.98 / $1,093.39 / $1,519.44	Professional		$830.98	$1,093.39	$1,519.44
United Facility/Professional Professional Modifier Low / Median / High Price $427.10 / $545.48 / $899.94	Professional		$427.10	$545.48	$899.94