Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.76 / $869.76 / $2,463.71	Facility		$869.76	$869.76	$2,463.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.76 / $1,252.45 / $1,516.10	Professional		$869.76	$1,252.45	$1,516.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,087.90 / $2,923.06 / $7,662.59	Facility		$2,087.90	$2,923.06	$7,662.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,113.13 / $1,736.05 / $3,333.22	Professional		$1,113.13	$1,736.05	$3,333.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,774.72 / $2,110.50 / $3,862.62	Facility		$1,774.72	$2,110.50	$3,862.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,774.72 / $1,774.72 / $1,774.72	Professional		$1,774.72	$1,774.72	$1,774.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,606.19 / $1,606.19 / $1,606.19	Facility		$1,606.19	$1,606.19	$1,606.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,571.68 / $2,789.90	Professional		$1,172.52	$1,571.68	$2,789.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,586.80 / $2,087.90 / $2,901.13	Professional		$1,586.80	$2,087.90	$2,901.13
United Facility/Professional Professional Modifier Low / Median / High Price $694.42 / $1,041.63 / $1,736.05	Professional		$694.42	$1,041.63	$1,736.05