Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $1,071.52	Facility		$363.08	$363.08	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $741.31	Professional		$363.08	$436.52	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,137.96 / $3,311.31	Facility		$891.25	$2,137.96	$3,311.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,096.48	Professional		$478.63	$741.31	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,412.54	Facility		$630.96	$630.96	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $1,023.29	Professional		$457.09	$457.09	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,621.81	Professional		$588.84	$891.25	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $588.84 / $616.60	Facility		$302.00	$588.84	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $870.96	Professional		$295.12	$436.52	$870.96