Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.61 / $919.61 / $2,184.46	Facility		$919.61	$919.61	$2,184.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.61 / $1,161.60 / $1,538.35	Professional		$919.61	$1,161.60	$1,538.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,936.46 / $2,711.04 / $7,106.81	Facility		$1,936.46	$2,711.04	$7,106.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,032.39 / $1,610.13 / $3,091.45	Professional		$1,032.39	$1,610.13	$3,091.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,645.99 / $1,838.46 / $3,582.45	Facility		$1,645.99	$1,838.46	$3,582.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,645.99 / $1,645.99 / $1,645.99	Professional		$1,645.99	$1,645.99	$1,645.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $1,399.15	Facility		$1,399.15	$1,399.15	$1,399.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,369.08 / $2,507.63	Professional		$1,021.38	$1,369.08	$2,507.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,471.71 / $1,936.46 / $3,517.95	Professional		$1,471.71	$1,936.46	$3,517.95
United Facility/Professional Professional Modifier Low / Median / High Price $654.21 / $966.08 / $1,891.08	Professional		$654.21	$966.08	$1,891.08