Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $2,344.23	Facility		$912.01	$912.01	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,698.24	Professional		$776.25	$912.01	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,570.88 / $7,079.46	Facility		$1,949.84	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $2,398.83	Professional		$977.24	$1,584.89	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,884.03	Facility		$1,023.29	$1,023.29	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,949.84	Professional		$758.58	$758.58	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $3,235.94	Professional		$1,202.26	$1,949.84	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $1,071.52	Facility		$501.19	$776.25	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,659.59	Professional		$630.96	$912.01	$1,659.59