Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.40 / $917.40 / $2,179.19	Facility		$917.40	$917.40	$2,179.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.40 / $1,158.82 / $1,738.23	Professional		$917.40	$1,158.82	$1,738.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,931.80 / $2,704.52 / $7,089.71	Facility		$1,931.80	$2,704.52	$7,089.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,029.90 / $1,606.26 / $3,084.02	Professional		$1,029.90	$1,606.26	$3,084.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,642.03 / $1,782.55 / $3,573.83	Facility		$1,642.03	$1,782.55	$3,573.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,642.03 / $1,642.03 / $1,642.03	Professional		$1,642.03	$1,642.03	$1,642.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $1,207.09	Facility		$1,207.09	$1,207.09	$1,207.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $1,207.09 / $2,239.50	Professional		$881.18	$1,207.09	$2,239.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,468.17 / $1,931.80 / $2,916.14	Professional		$1,468.17	$1,931.80	$2,916.14
United Facility/Professional Professional Modifier Low / Median / High Price $652.64 / $963.76 / $1,590.02	Professional		$652.64	$963.76	$1,590.02