Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.78 / $715.78 / $2,027.53	Facility		$715.78	$715.78	$2,027.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.09 / $835.12 / $1,145.24	Professional		$650.09	$835.12	$1,145.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,718.25 / $2,405.55 / $6,305.98	Facility		$1,718.25	$2,405.55	$6,305.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.30 / $1,428.69 / $2,743.08	Professional		$787.30	$1,428.69	$2,743.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,095.39 / $1,460.51 / $3,178.76	Facility		$1,095.39	$1,460.51	$3,178.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,460.51 / $1,460.51 / $1,460.51	Professional		$1,460.51	$1,460.51	$1,460.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $908.11	Facility		$908.11	$908.11	$908.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $1,721.79	Professional		$662.92	$662.92	$1,721.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,305.86 / $1,718.25 / $2,387.07	Professional		$1,305.86	$1,718.25	$2,387.07
United Facility/Professional Professional Modifier Low / Median / High Price $571.48 / $857.21 / $1,414.26	Professional		$571.48	$857.21	$1,414.26