Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.67 / $1,374.94 / $1,505.27	Professional		$819.67	$1,374.94	$1,505.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,719.06 / $1,719.06 / $1,719.06	Facility		$1,719.06	$1,719.06	$1,719.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.96 / $1,729.13 / $2,658.63	Professional		$1,214.96	$1,729.13	$2,658.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,719.06 / $2,492.64 / $2,750.50	Facility		$1,719.06	$2,492.64	$2,750.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $742.34	Professional		$742.34	$742.34	$742.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,375.25 / $1,719.06 / $2,894.16	Professional		$1,375.25	$1,719.06	$2,894.16
United Facility/Professional Professional Modifier Low / Median / High Price $571.75 / $778.71 / $1,162.70	Professional		$571.75	$778.71	$1,162.70