Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,778.28	Facility		$602.56	$602.56	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,412.54	Professional		$602.56	$831.76	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,548.13 / $5,495.41	Facility		$1,479.11	$3,548.13	$5,495.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,949.84	Professional		$776.25	$1,202.26	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $2,691.53	Facility		$912.01	$912.01	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,949.84	Professional		$660.69	$660.69	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,884.03	Professional		$1,047.13	$1,479.11	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,096.48 / $1,148.15	Facility		$562.34	$1,096.48	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,412.54	Professional		$478.63	$724.44	$1,412.54