Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.89 / $847.89 / $2,401.75	Facility		$847.89	$847.89	$2,401.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.89 / $1,220.95 / $1,616.82	Professional		$847.89	$1,220.95	$1,616.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,035.38 / $2,849.53 / $7,469.84	Facility		$2,035.38	$2,849.53	$7,469.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,085.13 / $1,692.38 / $3,249.37	Professional		$1,085.13	$1,692.38	$3,249.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,730.07 / $1,984.95 / $3,765.45	Facility		$1,730.07	$1,984.95	$3,765.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,730.07 / $1,730.07 / $1,730.07	Professional		$1,730.07	$1,730.07	$1,730.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $1,271.83	Facility		$1,271.83	$1,271.83	$1,271.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $1,271.83 / $2,707.13	Professional		$928.44	$1,271.83	$2,707.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,546.89 / $2,035.38 / $2,827.63	Professional		$1,546.89	$2,035.38	$2,827.63
United Facility/Professional Professional Modifier Low / Median / High Price $676.95 / $1,015.43 / $1,692.38	Professional		$676.95	$1,015.43	$1,692.38