Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $2,344.23	Facility		$912.01	$912.01	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,737.80	Professional		$891.25	$1,023.29	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,677.35 / $7,244.36	Facility		$1,949.84	$4,677.35	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,630.27	Professional		$1,023.29	$1,621.81	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $3,388.44	Facility		$1,202.26	$1,202.26	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $2,238.72	Professional		$891.25	$891.25	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,884.03	Professional		$1,380.38	$1,949.84	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $1,288.25	Facility		$602.56	$954.99	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,905.46	Professional		$645.65	$954.99	$1,905.46