Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.52 / $355.52 / $1,007.06	Facility		$355.52	$355.52	$1,007.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.52 / $478.65 / $568.83	Professional		$355.52	$478.65	$568.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $853.44 / $1,194.82 / $3,132.12	Facility		$853.44	$1,194.82	$3,132.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.72 / $709.62 / $1,362.47	Professional		$487.72	$709.62	$1,362.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $716.75 / $806.51 / $1,578.86	Facility		$716.75	$806.51	$1,578.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $725.42 / $725.42 / $725.42	Professional		$725.42	$725.42	$725.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.74 / $528.74 / $528.74	Facility		$528.74	$528.74	$528.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $385.98 / $1,071.70	Professional		$385.98	$385.98	$1,071.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $648.61 / $853.44 / $1,797.00	Professional		$648.61	$853.44	$1,797.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.29 / $425.77 / $702.44	Professional		$313.29	$425.77	$702.44