Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.12 / $888.12 / $2,515.71	Facility		$888.12	$888.12	$2,515.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.12 / $1,261.11 / $1,430.18	Professional		$888.12	$1,261.11	$1,430.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,131.96 / $2,984.74 / $7,824.29	Facility		$2,131.96	$2,984.74	$7,824.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.60 / $1,772.68 / $3,403.55	Professional		$1,136.60	$1,772.68	$3,403.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,774.46 / $2,128.65 / $3,944.13	Facility		$1,774.46	$2,128.65	$3,944.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,812.17 / $1,812.17 / $1,812.17	Professional		$1,812.17	$1,812.17	$1,812.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,620.00	Facility		$1,620.00	$1,620.00	$1,620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,585.19 / $2,789.45	Professional		$1,182.59	$1,585.19	$2,789.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,620.29 / $2,131.96 / $2,961.85	Professional		$1,620.29	$2,131.96	$2,961.85
United Facility/Professional Professional Modifier Low / Median / High Price $815.47 / $1,063.60 / $1,772.68	Professional		$815.47	$1,063.60	$1,772.68