Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.57 / $805.57 / $22,357.06	Facility		$805.57	$805.57	$22,357.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.57 / $1,143.90 / $1,376.10	Professional		$805.57	$1,143.90	$1,376.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,933.80 / $2,707.32 / $7,097.05	Facility		$1,933.80	$2,707.32	$7,097.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,030.97 / $1,607.92 / $3,087.21	Professional		$1,030.97	$1,607.92	$3,087.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,643.73 / $1,933.80 / $3,790.25	Facility		$1,643.73	$1,933.80	$3,790.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,643.73 / $1,643.73 / $1,643.73	Professional		$1,643.73	$1,643.73	$1,643.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $1,226.77	Facility		$1,226.77	$1,226.77	$1,226.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $1,224.07 / $2,241.75	Professional		$895.54	$1,224.07	$2,241.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,469.69 / $1,933.80 / $2,686.76	Professional		$1,469.69	$1,933.80	$2,686.76
United Facility/Professional Professional Modifier Low / Median / High Price $643.16 / $964.75 / $1,591.67	Professional		$643.16	$964.75	$1,591.67