Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.01 / $482.01 / $1,365.35	Facility		$482.01	$482.01	$1,365.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.01 / $684.45 / $799.16	Professional		$482.01	$684.45	$799.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,157.08 / $1,619.91 / $4,246.47	Facility		$1,157.08	$1,619.91	$4,246.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.89 / $962.09 / $1,847.21	Professional		$616.89	$962.09	$1,847.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $983.52 / $1,186.82 / $2,140.60	Facility		$983.52	$1,186.82	$2,140.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $983.52 / $983.52 / $983.52	Professional		$983.52	$983.52	$983.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.44 / $930.44 / $930.44	Facility		$930.44	$930.44	$930.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $883.82 / $1,546.16	Professional		$679.22	$883.82	$1,546.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $879.38 / $1,157.08 / $1,607.59	Professional		$879.38	$1,157.08	$1,607.59
United Facility/Professional Professional Modifier Low / Median / High Price $451.98 / $577.25 / $952.37	Professional		$451.98	$577.25	$952.37