Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.89 / $625.89 / $1,772.91	Facility		$625.89	$625.89	$1,772.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.89 / $801.78 / $1,001.42	Professional		$625.89	$801.78	$1,001.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,502.47 / $2,103.46 / $5,514.06	Facility		$1,502.47	$2,103.46	$5,514.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.39 / $1,210.30 / $2,677.75	Professional		$790.39	$1,210.30	$2,677.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,239.74 / $1,277.09 / $2,779.57	Facility		$1,239.74	$1,277.09	$2,779.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,277.09 / $1,277.09 / $1,277.09	Professional		$1,277.09	$1,277.09	$1,277.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $967.10	Facility		$967.10	$967.10	$967.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $705.98 / $1,585.44	Professional		$705.98	$705.98	$1,585.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,141.88 / $1,502.47 / $3,161.00	Professional		$1,141.88	$1,502.47	$3,161.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.71 / $749.57 / $1,298.49	Professional		$499.71	$749.57	$1,298.49