Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.92 / $764.92 / $1,817.00	Facility		$764.92	$764.92	$1,817.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.92 / $966.22 / $1,264.64	Professional		$764.92	$966.22	$1,264.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,610.72 / $2,255.01 / $5,911.34	Facility		$1,610.72	$2,255.01	$5,911.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.73 / $1,339.29 / $2,571.44	Professional		$858.73	$1,339.29	$2,571.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,369.11 / $1,744.88 / $2,979.83	Facility		$1,369.11	$1,744.88	$2,979.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,369.11 / $1,369.11 / $1,369.11	Professional		$1,369.11	$1,369.11	$1,369.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $1,006.48	Facility		$1,006.48	$1,006.48	$1,006.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $734.73 / $2,152.35	Professional		$734.73	$734.73	$2,152.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,224.15 / $1,610.72 / $2,431.77	Professional		$1,224.15	$1,610.72	$2,431.77
United Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $820.00 / $820.00	Facility		$820.00	$820.00	$820.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.72 / $803.57 / $1,339.29	Professional		$535.72	$803.57	$1,339.29