Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.75 / $605.75 / $1,715.89	Facility		$605.75	$605.75	$1,715.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.75 / $860.17 / $1,097.58	Professional		$605.75	$860.17	$1,097.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,454.14 / $2,035.80 / $5,336.69	Facility		$1,454.14	$2,035.80	$5,336.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.24 / $1,209.08 / $2,321.44	Professional		$775.24	$1,209.08	$2,321.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,236.02 / $1,426.84 / $2,690.16	Facility		$1,236.02	$1,426.84	$2,690.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,236.02 / $1,236.02 / $1,236.02	Professional		$1,236.02	$1,236.02	$1,236.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $908.63	Facility		$908.63	$908.63	$908.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $663.30 / $1,945.88	Professional		$663.30	$663.30	$1,945.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,105.15 / $1,454.14 / $3,050.00	Professional		$1,105.15	$1,454.14	$3,050.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.02 / $725.45 / $1,420.05	Professional		$568.02	$725.45	$1,420.05