Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $2,041.74	Facility		$776.25	$776.25	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,479.11	Professional		$602.56	$794.33	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $6,165.95	Facility		$1,698.24	$3,981.07	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $2,089.30	Professional		$794.33	$1,380.38	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,290.87	Facility		$1,023.29	$1,023.29	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,819.70	Professional		$741.31	$741.31	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,698.24 / $2,570.40	Professional		$933.25	$1,698.24	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $616.60 / $851.14	Facility		$398.11	$616.60	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,412.54	Professional		$524.81	$794.33	$1,412.54