Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $2,238.72	Facility		$758.58	$758.58	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,698.24	Professional		$758.58	$1,047.13	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,365.16 / $6,760.83	Facility		$1,862.09	$4,365.16	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $2,454.71	Professional		$954.99	$1,513.56	$2,454.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $3,311.31	Facility		$1,348.96	$1,348.96	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $2,187.76	Professional		$977.24	$977.24	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,511.89	Professional		$1,288.25	$1,862.09	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,258.93 / $1,445.44	Facility		$691.83	$1,258.93	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,778.28	Professional		$602.56	$912.01	$1,778.28