Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,630.27 / $9,772.37	Facility		$891.25	$2,630.27	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,949.84	Professional		$891.25	$1,096.48	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,248.07 / $7,943.28	Facility		$2,187.76	$5,248.07	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $2,691.53	Professional		$1,096.48	$1,778.28	$2,691.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,388.44	Facility		$1,122.02	$1,122.02	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $2,630.27	Professional		$831.76	$831.76	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $3,388.44	Professional		$1,348.96	$2,187.76	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,258.93 / $1,445.44	Facility		$691.83	$1,258.93	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,862.09	Professional		$707.95	$1,071.52	$1,862.09