Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.60 / $863.60 / $2,446.26	Facility		$863.60	$863.60	$2,446.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.60 / $1,226.30 / $1,565.29	Professional		$863.60	$1,226.30	$1,565.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,073.10 / $2,902.34 / $7,608.28	Facility		$2,073.10	$2,902.34	$7,608.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,105.23 / $1,723.75 / $3,309.60	Professional		$1,105.23	$1,723.75	$3,309.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,762.14 / $2,129.29 / $3,835.24	Facility		$1,762.14	$2,129.29	$3,835.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,762.14 / $1,762.14 / $1,762.14	Professional		$1,762.14	$1,762.14	$1,762.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $1,295.39	Facility		$1,295.39	$1,295.39	$1,295.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $1,295.39 / $2,770.19	Professional		$945.63	$1,295.39	$2,770.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,575.56 / $2,073.10 / $2,880.09	Professional		$1,575.56	$2,073.10	$2,880.09
United Facility/Professional Professional Modifier Low / Median / High Price $689.50 / $1,034.25 / $1,706.32	Professional		$689.50	$1,034.25	$1,706.32