Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $2,344.23	Facility		$794.33	$794.33	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,584.89	Professional		$794.33	$954.99	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,570.88 / $7,079.46	Facility		$1,949.84	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,511.89	Professional		$1,000.00	$1,513.56	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,019.95	Facility		$1,318.26	$1,318.26	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,380.38	Professional		$977.24	$977.24	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,235.94	Professional		$1,258.93	$1,949.84	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,258.93 / $1,318.26	Facility		$645.65	$1,258.93	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,862.09	Professional		$630.96	$954.99	$1,862.09