Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.16 / $872.16 / $2,470.48	Facility		$872.16	$872.16	$2,470.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.16 / $1,117.55 / $1,395.45	Professional		$872.16	$1,117.55	$1,395.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,093.64 / $2,931.10 / $7,683.66	Facility		$2,093.64	$2,931.10	$7,683.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.52 / $1,740.83 / $3,342.39	Professional		$1,131.52	$1,740.83	$3,342.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,727.59 / $1,779.59 / $3,873.23	Facility		$1,727.59	$1,779.59	$3,873.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,779.59 / $1,779.59 / $1,779.59	Professional		$1,779.59	$1,779.59	$1,779.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $1,162.68	Facility		$1,162.68	$1,162.68	$1,162.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $988.28 / $2,414.25	Professional		$988.28	$988.28	$2,414.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,591.17 / $2,093.64 / $7,163.00	Professional		$1,591.17	$2,093.64	$7,163.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.17 / $1,044.50 / $1,723.23	Professional		$572.17	$1,044.50	$1,723.23