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 / $1,122.02 / $1,949.84	Professional		$794.33	$1,122.02	$1,949.84
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 $1,148.15 / $1,584.89 / $2,511.89	Professional		$1,148.15	$1,584.89	$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 $1,548.82 / $1,548.82 / $3,388.44	Facility		$1,548.82	$1,548.82	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,344.23	Professional		$1,122.02	$1,122.02	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,630.78	Professional		$1,348.96	$1,949.84	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,445.44 / $1,513.56	Facility		$724.44	$1,445.44	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,862.09	Professional		$630.96	$954.99	$1,862.09