Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.71 / $887.71 / $2,514.56	Facility		$887.71	$887.71	$2,514.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.71 / $1,168.88 / $1,526.90	Professional		$887.71	$1,168.88	$1,526.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,130.98 / $2,983.37 / $7,820.70	Facility		$2,130.98	$2,983.37	$7,820.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.61 / $1,771.87 / $3,401.99	Professional		$1,071.61	$1,771.87	$3,401.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,609.14 / $1,969.53 / $3,942.31	Facility		$1,609.14	$1,969.53	$3,942.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,811.33 / $1,811.33 / $1,811.33	Professional		$1,811.33	$1,811.33	$1,811.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $1,498.90	Facility		$1,498.90	$1,498.90	$1,498.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,413.83 / $2,354.86	Professional		$1,094.20	$1,413.83	$2,354.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,619.54 / $2,130.98 / $3,298.37	Professional		$1,619.54	$2,130.98	$3,298.37
United Facility/Professional Professional Modifier Low / Median / High Price $708.75 / $1,063.11 / $1,753.96	Professional		$708.75	$1,063.11	$1,753.96