Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.15 / $480.15 / $1,360.09	Facility		$480.15	$480.15	$1,360.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.15 / $681.81 / $768.24	Professional		$480.15	$681.81	$768.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.61 / $1,613.67 / $4,230.12	Facility		$1,152.61	$1,613.67	$4,230.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.50 / $958.38 / $1,840.09	Professional		$614.50	$958.38	$1,840.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $979.73 / $1,152.61 / $2,259.14	Facility		$979.73	$1,152.61	$2,259.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $979.73 / $979.73 / $979.73	Professional		$979.73	$979.73	$979.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $812.21 / $812.21	Facility		$812.21	$812.21	$812.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $729.59 / $1,336.13	Professional		$592.91	$729.59	$1,336.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $875.99 / $1,152.61 / $1,601.58	Professional		$875.99	$1,152.61	$1,601.58
United Facility/Professional Professional Modifier Low / Median / High Price $500.60 / $575.03 / $1,152.61	Professional		$500.60	$575.03	$1,152.61