Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.67 / $975.67 / $2,763.71	Facility		$975.67	$975.67	$2,763.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.67 / $1,250.20 / $1,561.07	Professional		$975.67	$1,250.20	$1,561.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,232.09 / $1,947.45 / $3,739.10	Professional		$1,232.09	$1,947.45	$3,739.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,932.65 / $1,990.81 / $4,332.93	Facility		$1,932.65	$1,990.81	$4,332.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,990.81 / $1,990.81 / $1,990.81	Professional		$1,990.81	$1,990.81	$1,990.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,530.00 / $2,700.75	Professional		$1,530.00	$1,530.00	$2,700.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,780.02 / $2,342.13 / $3,782.40	Professional		$1,780.02	$2,342.13	$3,782.40
United Facility/Professional Professional Modifier Low / Median / High Price $813.11 / $1,168.47 / $1,947.45	Professional		$813.11	$1,168.47	$1,947.45