Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.09 / $665.09 / $1,883.96	Facility		$665.09	$665.09	$1,883.96
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 $1,111.22 / $1,111.22 / $1,111.22	Facility		$1,111.22	$1,111.22	$1,111.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.19 / $811.19 / $1,896.08	Professional		$811.19	$811.19	$1,896.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,213.40 / $1,596.58 / $3,388.00	Professional		$1,213.40	$1,596.58	$3,388.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.01 / $796.51 / $1,315.68	Professional		$531.01	$796.51	$1,315.68