Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.09 / $665.09 / $1,911.66	Facility		$665.09	$665.09	$1,911.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.09 / $852.21 / $1,064.14	Professional		$665.09	$852.21	$1,064.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,596.58 / $2,235.21 / $5,859.45	Facility		$1,596.58	$2,235.21	$5,859.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.37 / $1,327.52 / $2,548.84	Professional		$906.37	$1,327.52	$2,548.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,317.42 / $1,357.09 / $2,953.67	Facility		$1,317.42	$1,357.09	$2,953.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,357.09 / $1,357.09 / $1,357.09	Professional		$1,357.09	$1,357.09	$1,357.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $886.63	Facility		$886.63	$886.63	$886.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $647.24 / $1,840.88	Professional		$647.24	$647.24	$1,840.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,213.40 / $1,596.58 / $3,373.00	Professional		$1,213.40	$1,596.58	$3,373.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.27 / $796.51 / $1,314.11	Professional		$554.27	$796.51	$1,314.11