Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.65 / $364.65 / $1,032.92	Facility		$364.65	$364.65	$1,032.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.65 / $517.79 / $583.44	Professional		$364.65	$517.79	$583.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.36 / $1,225.50 / $3,212.57	Facility		$875.36	$1,225.50	$3,212.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.68 / $727.84 / $1,397.45	Professional		$466.68	$727.84	$1,397.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $744.06 / $875.36 / $1,715.71	Facility		$744.06	$875.36	$1,715.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $744.06 / $744.06 / $744.06	Professional		$744.06	$744.06	$744.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $612.94	Facility		$612.94	$612.94	$612.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $599.77 / $1,098.38	Professional		$447.45	$599.77	$1,098.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.27 / $875.36 / $1,216.58	Professional		$665.27	$875.36	$1,216.58
United Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $610.04 / $672.95	Facility		$336.48	$610.04	$672.95
United Facility/Professional Professional Modifier Low / Median / High Price $291.14 / $436.70 / $720.49	Professional		$291.14	$436.70	$720.49