Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.50 / $625.50 / $1,771.82	Facility		$625.50	$625.50	$1,771.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.50 / $810.61 / $1,000.80	Professional		$625.50	$810.61	$1,000.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,501.54 / $2,102.16 / $5,510.65	Facility		$1,501.54	$2,102.16	$5,510.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,063.34 / $1,330.49 / $2,454.98	Professional		$1,063.34	$1,330.49	$2,454.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,244.10 / $1,304.27 / $2,777.85	Facility		$1,244.10	$1,304.27	$2,777.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,276.31 / $1,276.31 / $1,276.31	Professional		$1,276.31	$1,276.31	$1,276.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $843.35	Facility		$843.35	$843.35	$843.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $843.35 / $1,779.00	Professional		$716.85	$843.35	$1,779.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,141.17 / $1,501.54 / $2,226.00	Professional		$1,141.17	$1,501.54	$2,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.40 / $749.10 / $1,297.67	Professional		$499.40	$749.10	$1,297.67