Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.64 / $879.64 / $2,089.50	Facility		$879.64	$879.64	$2,089.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.34 / $988.46 / $1,394.72	Professional		$833.34	$988.46	$1,394.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,852.28 / $2,593.19 / $6,797.87	Facility		$1,852.28	$2,593.19	$6,797.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.82 / $1,540.14 / $2,957.07	Professional		$1,000.82	$1,540.14	$2,957.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,528.41 / $1,574.44 / $3,426.72	Facility		$1,528.41	$1,574.44	$3,426.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,574.44 / $1,574.44 / $1,574.44	Professional		$1,574.44	$1,574.44	$1,574.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.38 / $1,028.38 / $1,028.38	Facility		$1,028.38	$1,028.38	$1,028.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $750.72 / $2,135.63	Professional		$750.72	$750.72	$2,135.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,407.73 / $1,852.28 / $2,714.00	Professional		$1,407.73	$1,852.28	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.05 / $924.08 / $1,524.58	Professional		$616.05	$924.08	$1,524.58