Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,630.78 / $7,413.10	Facility		$1,737.80	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $602.56 / $3,467.37	Professional		$169.82	$602.56	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,344.23 / $7,585.78	Facility		$549.54	$2,344.23	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69,183.10 / $69,183.10 / $69,183.10	Professional		$69,183.10	$69,183.10	$69,183.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $616.60 / $831.76	Facility		$199.53	$616.60	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $1,584.89	Professional		$218.78	$218.78	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,248.07	Facility		$524.81	$2,454.71	$5,248.07