Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.76 / $766.76 / $2,171.96	Facility		$766.76	$766.76	$2,171.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.76 / $1,088.80 / $1,226.82	Professional		$766.76	$1,088.80	$1,226.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,840.64 / $2,576.90 / $6,755.15	Facility		$1,840.64	$2,576.90	$6,755.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $981.30 / $1,530.46 / $2,938.48	Professional		$981.30	$1,530.46	$2,938.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,564.54 / $1,840.64 / $3,607.65	Facility		$1,564.54	$1,840.64	$3,607.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,564.54 / $1,564.54 / $1,564.54	Professional		$1,564.54	$1,564.54	$1,564.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $1,408.48	Facility		$1,408.48	$1,408.48	$1,408.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,265.21 / $2,317.13	Professional		$1,028.19	$1,265.21	$2,317.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,398.89 / $1,840.64 / $2,557.84	Professional		$1,398.89	$1,840.64	$2,557.84
United Facility/Professional Professional Modifier Low / Median / High Price $612.17 / $918.28 / $1,515.00	Professional		$612.17	$918.28	$1,515.00