Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.75 / $948.75 / $2,687.45	Facility		$948.75	$948.75	$2,687.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.75 / $1,366.19 / $1,914.49	Professional		$948.75	$1,366.19	$1,914.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,277.50 / $3,188.50 / $8,358.43	Facility		$2,277.50	$3,188.50	$8,358.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.21 / $1,893.70 / $3,635.90	Professional		$1,214.21	$1,893.70	$3,635.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,935.88 / $2,119.10 / $4,213.38	Facility		$1,935.88	$2,119.10	$4,213.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,935.88 / $1,935.88 / $1,935.88	Professional		$1,935.88	$1,935.88	$1,935.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $1,654.54	Facility		$1,654.54	$1,654.54	$1,654.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,518.28 / $2,780.63	Professional		$1,207.81	$1,518.28	$2,780.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,730.90 / $2,277.50 / $3,164.29	Professional		$1,730.90	$2,277.50	$3,164.29
United Facility/Professional Professional Modifier Low / Median / High Price $757.48 / $1,136.22 / $1,893.70	Professional		$757.48	$1,136.22	$1,893.70