Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,659.59	Facility		$575.44	$575.44	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,174.90	Professional		$575.44	$676.08	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,311.31 / $5,128.61	Facility		$1,412.54	$3,311.31	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,778.28	Professional		$831.76	$1,148.15	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $2,041.74	Facility		$812.83	$812.83	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,584.89	Professional		$691.83	$691.83	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $4,073.80	Professional		$977.24	$1,412.54	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $977.24 / $1,023.29	Facility		$501.19	$977.24	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,348.96	Professional		$457.09	$691.83	$1,348.96