Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.43 / $851.43 / $2,411.79	Facility		$851.43	$851.43	$2,411.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.43 / $1,209.03 / $1,362.29	Professional		$851.43	$1,209.03	$1,362.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,043.89 / $2,861.45 / $7,501.08	Facility		$2,043.89	$2,861.45	$7,501.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,089.66 / $1,699.46 / $3,262.96	Professional		$1,089.66	$1,699.46	$3,262.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.31 / $1,900.75 / $3,781.20	Facility		$1,737.31	$1,900.75	$3,781.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,737.31 / $1,737.31 / $1,737.31	Professional		$1,737.31	$1,737.31	$1,737.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $1,367.82	Facility		$1,367.82	$1,367.82	$1,367.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,338.42 / $2,451.38	Professional		$998.51	$1,338.42	$2,451.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,553.36 / $2,043.89 / $2,839.67	Professional		$1,553.36	$2,043.89	$2,839.67
United Facility/Professional Facility Modifier Low / Median / High Price $785.65 / $1,424.39 / $1,571.29	Facility		$785.65	$1,424.39	$1,571.29
United Facility/Professional Professional Modifier Low / Median / High Price $679.78 / $1,019.68 / $1,682.29	Professional		$679.78	$1,019.68	$1,682.29