Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.70 / $893.70 / $2,122.89	Facility		$893.70	$893.70	$2,122.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.70 / $1,128.88 / $1,284.31	Professional		$893.70	$1,128.88	$1,284.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,881.89 / $2,634.65 / $6,906.54	Facility		$1,881.89	$2,634.65	$6,906.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.30 / $1,564.76 / $3,004.34	Professional		$1,003.30	$1,564.76	$3,004.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,599.61 / $1,765.06 / $3,481.50	Facility		$1,599.61	$1,765.06	$3,481.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,599.61 / $1,599.61 / $1,599.61	Professional		$1,599.61	$1,599.61	$1,599.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $1,277.46	Facility		$1,277.46	$1,277.46	$1,277.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $1,277.46 / $2,407.50	Professional		$932.55	$1,277.46	$2,407.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,430.24 / $1,881.89 / $3,418.77	Professional		$1,430.24	$1,881.89	$3,418.77
United Facility/Professional Professional Modifier Low / Median / High Price $625.90 / $938.86 / $1,548.95	Professional		$625.90	$938.86	$1,548.95