Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.27 / $374.27 / $1,060.16	Facility		$374.27	$374.27	$1,060.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.27 / $531.46 / $715.10	Professional		$374.27	$531.46	$715.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $898.44 / $1,257.82 / $3,297.27	Facility		$898.44	$1,257.82	$3,297.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.78 / $747.04 / $1,434.32	Professional		$476.78	$747.04	$1,434.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $744.44 / $913.86 / $1,662.11	Facility		$744.44	$913.86	$1,662.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $763.67 / $763.67 / $763.67	Professional		$763.67	$763.67	$763.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $695.50	Facility		$695.50	$695.50	$695.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $661.99 / $1,102.60	Professional		$507.72	$661.99	$1,102.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.81 / $898.44 / $1,499.31	Professional		$682.81	$898.44	$1,499.31
United Facility/Professional Professional Modifier Low / Median / High Price $343.12 / $448.22 / $739.48	Professional		$343.12	$448.22	$739.48