Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.63 / $427.63 / $1,211.33	Facility		$427.63	$427.63	$1,211.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.91 / $462.41 / $684.21	Professional		$369.91	$462.41	$684.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.55 / $1,437.17 / $3,767.44	Facility		$1,026.55	$1,437.17	$3,767.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.36 / $853.56 / $1,638.84	Professional		$470.36	$853.56	$1,638.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $732.11 / $872.57 / $1,899.12	Facility		$732.11	$872.57	$1,899.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $872.57 / $872.57 / $872.57	Professional		$872.57	$872.57	$872.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $496.34 / $496.34	Facility		$496.34	$496.34	$496.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $362.33 / $1,028.68	Professional		$362.33	$362.33	$1,028.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.18 / $1,026.55 / $1,441.04	Professional		$780.18	$1,026.55	$1,441.04
United Facility/Professional Professional Modifier Low / Median / High Price $346.81 / $512.14 / $1,004.68	Professional		$346.81	$512.14	$1,004.68