Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.64 / $878.64 / $2,488.87	Facility		$878.64	$878.64	$2,488.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.64 / $1,247.67 / $1,445.41	Professional		$878.64	$1,247.67	$1,445.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,109.21 / $2,952.89 / $7,740.80	Facility		$2,109.21	$2,952.89	$7,740.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.50 / $1,753.77 / $3,367.24	Professional		$1,124.50	$1,753.77	$3,367.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,743.46 / $2,151.32 / $3,902.04	Facility		$1,743.46	$2,151.32	$3,902.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,792.83 / $1,792.83 / $1,792.83	Professional		$1,792.83	$1,792.83	$1,792.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,637.27 / $1,637.27 / $1,637.27	Facility		$1,637.27	$1,637.27	$1,637.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,602.08 / $2,740.62	Professional		$1,195.21	$1,602.08	$2,740.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,603.00 / $2,109.21 / $3,726.95	Professional		$1,603.00	$2,109.21	$3,726.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,366.91 / $1,366.91 / $1,366.91	Facility		$1,366.91	$1,366.91	$1,366.91
United Facility/Professional Professional Modifier Low / Median / High Price $801.22 / $1,052.26 / $1,736.06	Professional		$801.22	$1,052.26	$1,736.06