Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $2,511.89	Facility		$851.14	$851.14	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,949.84	Professional		$851.14	$1,148.15	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,897.79 / $7,585.78	Facility		$2,089.30	$4,897.79	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,754.23	Professional		$1,096.48	$1,698.24	$2,754.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $3,801.89	Facility		$1,258.93	$1,258.93	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $2,511.89	Professional		$933.25	$933.25	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $2,818.38	Professional		$1,445.44	$2,089.30	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,513.56 / $1,621.81	Facility		$776.25	$1,513.56	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,995.26	Professional		$676.08	$1,023.29	$1,995.26