Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $2,570.40	Facility		$870.96	$870.96	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $1,949.84	Professional		$870.96	$1,230.27	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,011.87 / $7,762.47	Facility		$2,137.96	$5,011.87	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,818.38	Professional		$1,122.02	$1,737.80	$2,818.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,801.89	Facility		$1,621.81	$1,621.81	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,570.40	Professional		$1,174.90	$1,174.90	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $2,884.03	Professional		$1,479.11	$2,137.96	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,445.44 / $1,659.59	Facility		$794.33	$1,445.44	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $2,041.74	Professional		$691.83	$1,047.13	$2,041.74