Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.33 / $664.33 / $1,881.80	Facility		$664.33	$664.33	$1,881.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.33 / $943.35 / $1,381.81	Professional		$664.33	$943.35	$1,381.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,594.75 / $2,232.65 / $5,852.73	Facility		$1,594.75	$2,232.65	$5,852.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.21 / $1,326.01 / $2,545.94	Professional		$850.21	$1,326.01	$2,545.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,355.54 / $1,807.39 / $3,125.71	Facility		$1,355.54	$1,807.39	$3,125.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,355.54 / $1,355.54 / $1,355.54	Professional		$1,355.54	$1,355.54	$1,355.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $1,020.64	Facility		$1,020.64	$1,020.64	$1,020.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $1,020.64 / $2,130.85	Professional		$745.07	$1,020.64	$2,130.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,212.01 / $1,594.75 / $2,897.32	Professional		$1,212.01	$1,594.75	$2,897.32
United Facility/Professional Professional Modifier Low / Median / High Price $622.95 / $795.61 / $1,312.60	Professional		$622.95	$795.61	$1,312.60