Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.72 / $756.72 / $2,143.52	Facility		$756.72	$756.72	$2,143.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.72 / $1,032.63 / $1,210.75	Professional		$756.72	$1,032.63	$1,210.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,816.54 / $2,543.16 / $6,666.70	Facility		$1,816.54	$2,543.16	$6,666.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $958.73 / $1,510.42 / $2,900.01	Professional		$958.73	$1,510.42	$2,900.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,404.12 / $1,739.95 / $3,360.60	Facility		$1,404.12	$1,739.95	$3,360.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,544.06 / $1,544.06 / $1,544.06	Professional		$1,544.06	$1,544.06	$1,544.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,324.18	Facility		$1,324.18	$1,324.18	$1,324.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $1,295.72 / $2,312.67	Professional		$966.65	$1,295.72	$2,312.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.57 / $1,816.54 / $3,001.82	Professional		$1,380.57	$1,816.54	$3,001.82
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.77 / $906.25 / $1,510.42	Professional		$686.77	$906.25	$1,510.42