Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.68 / $766.68 / $2,171.73	Facility		$766.68	$766.68	$2,171.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.68 / $982.39 / $1,226.69	Professional		$766.68	$982.39	$1,226.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,840.46 / $2,576.64 / $6,754.49	Facility		$1,840.46	$2,576.64	$6,754.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,226.19 / $1,530.30 / $2,938.18	Professional		$1,226.19	$1,530.30	$2,938.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,518.65 / $1,564.39 / $3,404.85	Facility		$1,518.65	$1,564.39	$3,404.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,564.39 / $1,564.39 / $1,564.39	Professional		$1,564.39	$1,564.39	$1,564.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $1,022.07	Facility		$1,022.07	$1,022.07	$1,022.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $1,022.07 / $2,122.13	Professional		$868.76	$1,022.07	$2,122.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,398.75 / $1,840.46 / $4,840.00	Professional		$1,398.75	$1,840.46	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.94 / $918.18 / $1,588.99	Professional		$638.94	$918.18	$1,588.99