Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.92 / $727.92 / $2,061.92	Facility		$727.92	$727.92	$2,061.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.92 / $1,048.20 / $1,230.47	Professional		$727.92	$1,048.20	$1,230.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,747.40 / $2,446.36 / $6,412.96	Facility		$1,747.40	$2,446.36	$6,412.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $931.60 / $1,452.93 / $2,789.63	Professional		$931.60	$1,452.93	$2,789.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,485.29 / $1,807.02 / $3,424.90	Facility		$1,485.29	$1,807.02	$3,424.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,485.29 / $1,485.29 / $1,485.29	Professional		$1,485.29	$1,485.29	$1,485.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $1,375.24	Facility		$1,375.24	$1,375.24	$1,375.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,345.66 / $2,334.69	Professional		$1,003.93	$1,345.66	$2,334.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,328.02 / $1,747.40 / $2,427.84	Professional		$1,328.02	$1,747.40	$2,427.84
United Facility/Professional Professional Modifier Low / Median / High Price $581.16 / $871.76 / $1,438.25	Professional		$581.16	$871.76	$1,438.25