Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,344.23 / $3,630.78	Facility		$870.96	$2,344.23	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,258.93	Professional		$870.96	$1,000.00	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,398.83	Facility		$1,148.15	$1,659.59	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,318.26	Professional		$954.99	$1,318.26	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $3,981.07	Facility		$2,041.74	$2,884.03	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,995.26	Professional		$1,513.56	$1,584.89	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $1,698.24	Professional		$1,445.44	$1,513.56	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,174.90 / $1,318.26	Facility		$724.44	$1,174.90	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,905.46	Professional		$549.54	$776.25	$1,905.46