Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $2,238.72	Facility		$758.58	$758.58	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,698.24	Professional		$758.58	$1,023.29	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,365.16 / $6,760.83	Facility		$1,862.09	$4,365.16	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,344.23	Professional		$977.24	$1,513.56	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,235.94	Facility		$1,479.11	$1,479.11	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,238.72	Professional		$1,071.52	$1,071.52	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $3,235.94	Professional		$1,288.25	$1,862.09	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,202.26 / $1,348.96	Facility		$660.69	$1,202.26	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,584.89	Professional		$602.56	$912.01	$1,584.89