Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.15 / $808.15 / $2,289.19	Facility		$808.15	$808.15	$2,289.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.15 / $1,132.48 / $1,293.03	Professional		$808.15	$1,132.48	$1,293.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,939.99 / $2,715.99 / $7,119.76	Facility		$1,939.99	$2,715.99	$7,119.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.27 / $1,613.06 / $3,097.08	Professional		$1,034.27	$1,613.06	$3,097.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,648.99 / $1,939.99 / $3,802.38	Facility		$1,648.99	$1,939.99	$3,802.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,648.99 / $1,648.99 / $1,648.99	Professional		$1,648.99	$1,648.99	$1,648.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $1,254.96	Facility		$1,254.96	$1,254.96	$1,254.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $1,227.98 / $2,248.88	Professional		$916.12	$1,227.98	$2,248.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,474.39 / $1,939.99 / $3,524.34	Professional		$1,474.39	$1,939.99	$3,524.34
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $757.81 / $967.84 / $1,596.76	Professional		$757.81	$967.84	$1,596.76