Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.08 / $759.08 / $2,150.19	Facility		$759.08	$759.08	$2,150.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.08 / $1,077.89 / $1,300.85	Professional		$759.08	$1,077.89	$1,300.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,822.20 / $2,551.08 / $6,687.47	Facility		$1,822.20	$2,551.08	$6,687.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.48 / $1,515.12 / $2,909.03	Professional		$971.48	$1,515.12	$2,909.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.87 / $1,936.18 / $3,371.07	Facility		$1,548.87	$1,936.18	$3,371.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.87 / $1,548.87 / $1,548.87	Professional		$1,548.87	$1,548.87	$1,548.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $1,473.53	Facility		$1,473.53	$1,473.53	$1,473.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,377.26 / $2,293.92	Professional		$1,075.68	$1,377.26	$2,293.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,384.87 / $1,822.20 / $3,119.12	Professional		$1,384.87	$1,822.20	$3,119.12
United Facility/Professional Professional Modifier Low / Median / High Price $713.72 / $909.07 / $1,779.49	Professional		$713.72	$909.07	$1,779.49