Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.21 / $853.21 / $2,416.84	Facility		$853.21	$853.21	$2,416.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.21 / $1,092.98 / $1,365.14	Professional		$853.21	$1,092.98	$1,365.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,048.17 / $2,867.44 / $7,516.78	Facility		$2,048.17	$2,867.44	$7,516.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,091.94 / $1,703.01 / $3,269.78	Professional		$1,091.94	$1,703.01	$3,269.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,690.05 / $1,740.94 / $3,789.11	Facility		$1,690.05	$1,740.94	$3,789.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,740.94 / $1,740.94 / $1,740.94	Professional		$1,740.94	$1,740.94	$1,740.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $1,317.79	Facility		$1,317.79	$1,317.79	$1,317.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $1,289.49 / $2,361.75	Professional		$961.99	$1,289.49	$2,361.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,556.61 / $2,048.17 / $2,845.59	Professional		$1,556.61	$2,048.17	$2,845.59
United Facility/Professional Professional Modifier Low / Median / High Price $760.94 / $1,021.81 / $1,685.80	Professional		$760.94	$1,021.81	$1,685.80