Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.19 / $481.19 / $1,363.04	Facility		$481.19	$481.19	$1,363.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $682.58 / $827.32	Professional		$481.19	$682.58	$827.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.11 / $1,617.17 / $4,239.29	Facility		$1,155.11	$1,617.17	$4,239.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.84 / $960.46 / $1,844.08	Professional		$615.84	$960.46	$1,844.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $969.84 / $1,150.13 / $2,136.96	Facility		$969.84	$1,150.13	$2,136.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $981.85 / $981.85 / $981.85	Professional		$981.85	$981.85	$981.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $875.29	Facility		$875.29	$875.29	$875.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $856.49 / $1,448.04	Professional		$638.96	$856.49	$1,448.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.89 / $1,155.11 / $1,604.84	Professional		$877.89	$1,155.11	$1,604.84
United Facility/Professional Professional Modifier Low / Median / High Price $423.31 / $576.28 / $950.76	Professional		$423.31	$576.28	$950.76