Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.69 / $754.69 / $2,137.76	Facility		$754.69	$754.69	$2,137.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.69 / $1,071.66 / $1,252.75	Professional		$754.69	$1,071.66	$1,252.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,811.66 / $2,536.32 / $6,648.79	Facility		$1,811.66	$2,536.32	$6,648.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.85 / $1,506.36 / $2,892.21	Professional		$965.85	$1,506.36	$2,892.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,539.91 / $1,811.66 / $3,550.85	Facility		$1,539.91	$1,811.66	$3,550.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,539.91 / $1,539.91 / $1,539.91	Professional		$1,539.91	$1,539.91	$1,539.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $1,349.13	Facility		$1,349.13	$1,349.13	$1,349.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $2,420.71	Professional		$984.86	$984.86	$2,420.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,376.86 / $1,811.66 / $2,517.07	Professional		$1,376.86	$1,811.66	$2,517.07
United Facility/Professional Professional Modifier Low / Median / High Price $707.68 / $903.82 / $1,491.14	Professional		$707.68	$903.82	$1,491.14