Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.94 / $1,048.94 / $1,048.94	Facility		$1,048.94	$1,048.94	$1,048.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $1,048.94 / $1,324.49	Professional		$68.70	$1,048.94	$1,324.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,656.60 / $2,319.23 / $6,079.72	Facility		$1,656.60	$2,319.23	$6,079.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $141.16 / $2,708.50	Professional		$83.47	$141.16	$2,708.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,366.92 / $1,408.11 / $3,064.71	Facility		$1,366.92	$1,408.11	$3,064.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,408.11 / $1,408.11 / $1,408.11	Professional		$1,408.11	$1,408.11	$1,408.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $1,910.25	Professional		$102.00	$120.00	$1,910.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $1,656.60 / $2,259.86	Professional		$277.00	$1,656.60	$2,259.86
United Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $77.70 / $147.59	Professional		$51.80	$77.70	$147.59