Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.91 / $789.91 / $2,237.53	Facility		$789.91	$789.91	$2,237.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.91 / $1,011.93 / $1,263.85	Professional		$789.91	$1,011.93	$1,263.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,896.21 / $2,654.69 / $6,959.09	Facility		$1,896.21	$2,654.69	$6,959.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.54 / $1,527.48 / $3,379.48	Professional		$997.54	$1,527.48	$3,379.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,564.73 / $1,611.78 / $3,507.99	Facility		$1,564.73	$1,611.78	$3,507.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,611.78 / $1,611.78 / $1,611.78	Professional		$1,611.78	$1,611.78	$1,611.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $1,329.56	Facility		$1,329.56	$1,329.56	$1,329.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $2,186.63	Professional		$970.58	$970.58	$2,186.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,441.12 / $1,896.21 / $3,408.00	Professional		$1,441.12	$1,896.21	$3,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.66 / $946.00 / $1,638.80	Professional		$630.66	$946.00	$1,638.80