Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.01 / $719.01 / $2,036.69	Facility		$719.01	$719.01	$2,036.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.01 / $1,035.36 / $1,150.42	Professional		$719.01	$1,035.36	$1,150.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,726.01 / $2,416.41 / $6,334.46	Facility		$1,726.01	$2,416.41	$6,334.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.19 / $1,435.15 / $2,755.49	Professional		$920.19	$1,435.15	$2,755.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,467.11 / $1,726.01 / $3,382.98	Facility		$1,467.11	$1,726.01	$3,382.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,467.11 / $1,467.11 / $1,467.11	Professional		$1,467.11	$1,467.11	$1,467.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $1,232.72	Facility		$1,232.72	$1,232.72	$1,232.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $1,206.23 / $2,209.13	Professional		$899.89	$1,206.23	$2,209.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,311.77 / $1,726.01 / $2,398.19	Professional		$1,311.77	$1,726.01	$2,398.19
United Facility/Professional Professional Modifier Low / Median / High Price $574.05 / $861.09 / $1,420.64	Professional		$574.05	$861.09	$1,420.64