Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.60 / $678.60 / $1,922.23	Facility		$678.60	$678.60	$1,922.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.60 / $854.07 / $1,085.76	Professional		$678.60	$854.07	$1,085.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,629.01 / $2,280.61 / $5,978.47	Facility		$1,629.01	$2,280.61	$5,978.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.09 / $1,354.49 / $2,600.62	Professional		$858.09	$1,354.49	$2,600.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $565.00 / $1,346.56 / $2,524.96	Facility		$565.00	$1,346.56	$2,524.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.87 / $1,315.43 / $1,384.66	Professional		$553.87	$1,315.43	$1,384.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $926.75	Facility		$926.75	$926.75	$926.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $787.74 / $1,981.65	Professional		$787.74	$787.74	$1,981.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,238.05 / $1,629.01 / $2,694.71	Professional		$1,238.05	$1,629.01	$2,694.71
United Facility/Professional Professional Modifier Low / Median / High Price $541.79 / $812.69 / $1,340.81	Professional		$541.79	$812.69	$1,340.81