Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.75 / $914.75 / $2,172.91	Facility		$914.75	$914.75	$2,172.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.75 / $1,155.48 / $1,501.24	Professional		$914.75	$1,155.48	$1,501.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,926.24 / $2,696.74 / $7,069.30	Facility		$1,926.24	$2,696.74	$7,069.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,026.94 / $1,601.63 / $3,075.13	Professional		$1,026.94	$1,601.63	$3,075.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,637.30 / $1,717.67 / $3,563.54	Facility		$1,637.30	$1,717.67	$3,563.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,637.30 / $1,637.30 / $1,637.30	Professional		$1,637.30	$1,637.30	$1,637.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $1,172.51	Facility		$1,172.51	$1,172.51	$1,172.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $1,172.51 / $2,316.38	Professional		$855.93	$1,172.51	$2,316.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,463.94 / $1,926.24 / $2,832.67	Professional		$1,463.94	$1,926.24	$2,832.67
United Facility/Professional Professional Modifier Low / Median / High Price $640.65 / $960.98 / $1,998.06	Professional		$640.65	$960.98	$1,998.06