Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.75 / $870.75 / $2,466.53	Facility		$870.75	$870.75	$2,466.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.75 / $1,253.88 / $1,555.77	Professional		$870.75	$1,253.88	$1,555.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,090.28 / $2,926.39 / $7,671.33	Facility		$2,090.28	$2,926.39	$7,671.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,683.79 / $2,164.76 / $3,496.10	Professional		$1,683.79	$2,164.76	$3,496.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,724.78 / $1,776.74 / $3,867.02	Facility		$1,724.78	$1,776.74	$3,867.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,776.74 / $1,776.74 / $1,776.74	Professional		$1,776.74	$1,776.74	$1,776.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $1,650.90	Facility		$1,650.90	$1,650.90	$1,650.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,490.44 / $2,410.13	Professional		$1,403.27	$1,490.44	$2,410.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,588.61 / $2,090.28 / $11,606.00	Professional		$1,588.61	$2,090.28	$11,606.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,105.66 / $2,004.59 / $2,162.13	Facility		$1,105.66	$2,004.59	$2,162.13
United Facility/Professional Professional Modifier Low / Median / High Price $772.32 / $1,519.89 / $2,211.31	Professional		$772.32	$1,519.89	$2,211.31