Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.72 / $861.72 / $1,172.57	Facility		$861.72	$861.72	$1,172.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.42 / $896.22 / $1,119.50	Professional		$715.42	$896.22	$1,119.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,077.38 / $1,508.33 / $3,953.98	Facility		$1,077.38	$1,508.33	$3,953.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.45 / $1,083.69 / $2,310.00	Professional		$761.45	$1,083.69	$2,310.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $915.77 / $1,077.38 / $2,111.66	Facility		$915.77	$1,077.38	$2,111.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $915.77 / $915.77 / $915.77	Professional		$915.77	$915.77	$915.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,396.46 / $1,396.46 / $1,396.46	Facility		$1,396.46	$1,396.46	$1,396.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $517.14 / $1,312.13	Professional		$517.14	$517.14	$1,312.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,077.38 / $1,077.38 / $2,016.58	Professional		$1,077.38	$1,077.38	$2,016.58
United Facility/Professional Professional Modifier Low / Median / High Price $358.33 / $526.28 / $886.78	Professional		$358.33	$526.28	$886.78