Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.28 / $962.28 / $2,725.79	Facility		$962.28	$962.28	$2,725.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.28 / $1,366.44 / $1,824.02	Professional		$962.28	$1,366.44	$1,824.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,309.98 / $3,233.99 / $8,477.66	Facility		$2,309.98	$3,233.99	$8,477.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,231.53 / $1,920.72 / $3,687.78	Professional		$1,231.53	$1,920.72	$3,687.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,963.49 / $2,581.21 / $4,527.58	Facility		$1,963.49	$2,581.21	$4,527.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,963.49 / $1,963.49 / $1,963.49	Professional		$1,963.49	$1,963.49	$1,963.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $1,964.43	Facility		$1,964.43	$1,964.43	$1,964.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,853.30 / $3,086.50	Professional		$1,434.03	$1,853.30	$3,086.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,755.59 / $2,309.98 / $4,197.22	Professional		$1,755.59	$2,309.98	$4,197.22
United Facility/Professional Professional Modifier Low / Median / High Price $902.34 / $1,152.43 / $1,901.31	Professional		$902.34	$1,152.43	$1,901.31