Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.72 / $382.72 / $1,084.09	Facility		$382.72	$382.72	$1,084.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.44 / $493.72 / $612.34	Professional		$368.44	$493.72	$612.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.73 / $1,286.22 / $3,371.74	Facility		$918.73	$1,286.22	$3,371.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.65 / $763.90 / $1,466.69	Professional		$457.65	$763.90	$1,466.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.66 / $831.90 / $1,699.65	Facility		$638.66	$831.90	$1,699.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $780.92 / $780.92 / $780.92	Professional		$780.92	$780.92	$780.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $644.36	Facility		$644.36	$644.36	$644.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $602.79 / $1,004.04	Professional		$470.38	$602.79	$1,004.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $698.23 / $918.73 / $1,405.89	Professional		$698.23	$918.73	$1,405.89
United Facility/Professional Professional Modifier Low / Median / High Price $305.56 / $458.34 / $756.18	Professional		$305.56	$458.34	$756.18