Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.27 / $689.27 / $1,952.45	Facility		$689.27	$689.27	$1,952.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.27 / $978.76 / $1,433.68	Professional		$689.27	$978.76	$1,433.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,654.62 / $2,316.46 / $6,072.46	Facility		$1,654.62	$2,316.46	$6,072.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.13 / $1,375.79 / $2,641.52	Professional		$882.13	$1,375.79	$2,641.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,406.43 / $1,875.24 / $3,243.06	Facility		$1,406.43	$1,875.24	$3,243.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,406.43 / $1,406.43 / $1,406.43	Professional		$1,406.43	$1,406.43	$1,406.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $1,427.14	Facility		$1,427.14	$1,427.14	$1,427.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,327.46 / $2,211.04	Professional		$1,041.81	$1,327.46	$2,211.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,257.51 / $1,654.62 / $3,006.09	Professional		$1,257.51	$1,654.62	$3,006.09
United Facility/Professional Professional Modifier Low / Median / High Price $646.34 / $825.47 / $1,361.89	Professional		$646.34	$825.47	$1,361.89