Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,630.27	Facility		$891.25	$891.25	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,949.84	Professional		$851.14	$1,047.13	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,128.61 / $7,943.28	Facility		$2,187.76	$5,128.61	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $2,691.53	Professional		$1,071.52	$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 $1,513.56 / $1,513.56 / $3,235.94	Facility		$1,513.56	$1,513.56	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,630.27	Professional		$1,096.48	$1,096.48	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $3,311.31	Professional		$1,318.26	$2,187.76	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,230.27 / $1,380.38	Facility		$676.08	$1,230.27	$1,380.38
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