Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.20 / $778.20 / $2,204.36	Facility		$778.20	$778.20	$2,204.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.20 / $1,120.60 / $1,393.65	Professional		$778.20	$1,120.60	$1,393.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,868.10 / $2,615.34 / $6,855.93	Facility		$1,868.10	$2,615.34	$6,855.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.95 / $1,553.30 / $2,982.34	Professional		$995.95	$1,553.30	$2,982.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,587.89 / $2,055.61 / $3,661.48	Facility		$1,587.89	$2,055.61	$3,661.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,587.89 / $1,587.89 / $1,587.89	Professional		$1,587.89	$1,587.89	$1,587.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $1,167.30	Facility		$1,167.30	$1,167.30	$1,167.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $1,167.30 / $2,545.29	Professional		$852.13	$1,167.30	$2,545.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,419.76 / $1,868.10 / $2,595.53	Professional		$1,419.76	$1,868.10	$2,595.53
United Facility/Professional Professional Modifier Low / Median / High Price $729.73 / $931.98 / $1,537.60	Professional		$729.73	$931.98	$1,537.60