Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.50 / $359.50 / $1,018.34	Facility		$359.50	$359.50	$1,018.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.50 / $513.98 / $582.89	Professional		$359.50	$513.98	$582.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.00 / $1,208.20 / $3,167.21	Facility		$863.00	$1,208.20	$3,167.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.60 / $717.57 / $1,377.73	Professional		$473.60	$717.57	$1,377.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $733.55 / $863.00 / $1,691.48	Facility		$733.55	$863.00	$1,691.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $733.55 / $733.55 / $733.55	Professional		$733.55	$733.55	$733.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $582.20	Facility		$582.20	$582.20	$582.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $569.70 / $1,043.25	Professional		$425.01	$569.70	$1,043.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.88 / $863.00 / $1,199.09	Professional		$655.88	$863.00	$1,199.09
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $337.11 / $430.54 / $717.57	Professional		$337.11	$430.54	$717.57