Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.48 / $835.48 / $2,366.62	Facility		$835.48	$835.48	$2,366.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.48 / $1,186.38 / $1,405.02	Professional		$835.48	$1,186.38	$1,405.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,005.61 / $2,807.85 / $7,360.59	Facility		$2,005.61	$2,807.85	$7,360.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.25 / $1,667.62 / $3,201.83	Professional		$1,069.25	$1,667.62	$3,201.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,647.67 / $2,071.69 / $3,710.38	Facility		$1,647.67	$2,071.69	$3,710.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,704.77 / $1,704.77 / $1,704.77	Professional		$1,704.77	$1,704.77	$1,704.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $1,576.65	Facility		$1,576.65	$1,576.65	$1,576.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,505.41 / $2,506.75	Professional		$1,150.95	$1,505.41	$2,506.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,524.26 / $2,005.61 / $3,409.18	Professional		$1,524.26	$2,005.61	$3,409.18
United Facility/Professional Professional Modifier Low / Median / High Price $732.88 / $1,000.57 / $1,650.77	Professional		$732.88	$1,000.57	$1,650.77