Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.79 / $949.79 / $2,690.40	Facility		$949.79	$949.79	$2,690.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.79 / $1,348.69 / $1,696.98	Professional		$949.79	$1,348.69	$1,696.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,280.00 / $3,192.00 / $8,367.60	Facility		$2,280.00	$3,192.00	$8,367.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,215.53 / $1,895.78 / $3,639.90	Professional		$1,215.53	$1,895.78	$3,639.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,938.00 / $2,550.69 / $4,468.80	Facility		$1,938.00	$2,550.69	$4,468.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,938.00 / $1,938.00 / $1,938.00	Professional		$1,938.00	$1,938.00	$1,938.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $1,424.68	Facility		$1,424.68	$1,424.68	$1,424.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $3,478.88	Professional		$1,040.02	$1,040.02	$3,478.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,732.80 / $2,280.00 / $4,142.83	Professional		$1,732.80	$2,280.00	$4,142.83
United Facility/Professional Professional Modifier Low / Median / High Price $890.62 / $1,137.47 / $1,895.78	Professional		$890.62	$1,137.47	$1,895.78