Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $2,454.71	Facility		$831.76	$831.76	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,819.70	Professional		$831.76	$1,122.02	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,897.79 / $7,585.78	Facility		$2,041.74	$4,897.79	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $2,570.40	Professional		$1,071.52	$1,659.59	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $3,311.31	Facility		$1,584.89	$1,584.89	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,454.71	Professional		$1,148.15	$1,148.15	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,548.13	Professional		$1,412.54	$2,041.74	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,318.26 / $1,479.11	Facility		$724.44	$1,318.26	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,737.80	Professional		$660.69	$1,000.00	$1,737.80