Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.25 / $468.25 / $1,326.39	Facility		$468.25	$468.25	$1,326.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.25 / $664.92 / $880.00	Professional		$468.25	$664.92	$880.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,124.06 / $1,573.68 / $4,125.30	Facility		$1,124.06	$1,573.68	$4,125.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.27 / $934.63 / $1,794.49	Professional		$599.27	$934.63	$1,794.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $955.45 / $1,150.28 / $2,079.51	Facility		$955.45	$1,150.28	$2,079.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $955.45 / $955.45 / $955.45	Professional		$955.45	$955.45	$955.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $702.38 / $702.38	Facility		$702.38	$702.38	$702.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $702.38 / $1,501.81	Professional		$512.74	$702.38	$1,501.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.29 / $1,124.06 / $1,561.26	Professional		$854.29	$1,124.06	$1,561.26
United Facility/Professional Professional Modifier Low / Median / High Price $373.85 / $560.78 / $925.19	Professional		$373.85	$560.78	$925.19