Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.22 / $1,461.57 / $1,461.57	Facility		$1,043.22	$1,461.57	$1,461.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.04 / $1,461.57 / $1,496.79	Professional		$1,215.04	$1,461.57	$1,496.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,467.44 / $1,592.17 / $1,592.17	Facility		$1,467.44	$1,592.17	$1,592.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.12 / $874.44 / $1,467.44	Professional		$601.12	$874.44	$1,467.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $717.33 / $1,260.56 / $1,868.48	Facility		$717.33	$1,260.56	$1,868.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $738.95 / $738.95 / $738.95	Professional		$738.95	$738.95	$738.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.77 / $482.77 / $482.77	Facility		$482.77	$482.77	$482.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.35 / $410.35 / $1,032.27	Professional		$410.35	$410.35	$1,032.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.71 / $869.35 / $2,102.00	Professional		$660.71	$869.35	$2,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.14 / $437.88 / $774.71	Professional		$289.14	$437.88	$774.71