Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.78 / $892.78 / $9,866.85	Facility		$892.78	$892.78	$9,866.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.78 / $1,181.03 / $1,514.51	Professional		$892.78	$1,181.03	$1,514.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.16 / $3,000.42 / $7,865.40	Facility		$2,143.16	$3,000.42	$7,865.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,102.46 / $1,782.00 / $3,421.44	Professional		$1,102.46	$1,782.00	$3,421.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,639.11 / $1,989.99 / $3,964.85	Facility		$1,639.11	$1,989.99	$3,964.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,821.69 / $1,821.69 / $1,821.69	Professional		$1,821.69	$1,821.69	$1,821.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $1,132.82	Facility		$1,132.82	$1,132.82	$1,132.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $2,714.25	Professional		$826.96	$826.96	$2,714.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,628.80 / $2,143.16 / $3,392.82	Professional		$1,628.80	$2,143.16	$3,392.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $753.71 / $1,069.20 / $2,092.92	Professional		$753.71	$1,069.20	$2,092.92