Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $1,000.00	Facility		$346.74	$346.74	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $758.58	Professional		$346.74	$446.68	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,995.26 / $3,090.30	Facility		$831.76	$1,995.26	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $1,096.48	Professional		$436.52	$691.83	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,479.11	Facility		$645.65	$645.65	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,047.13	Professional		$478.63	$478.63	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,513.56	Professional		$588.84	$831.76	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $562.34 / $645.65	Facility		$309.03	$562.34	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $724.44	Professional		$275.42	$407.38	$724.44