Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.64 / $1,326.64 / $1,326.64	Facility		$1,326.64	$1,326.64	$1,326.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,326.64 / $1,576.20 / $2,389.60	Professional		$1,326.64	$1,576.20	$2,389.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.96 / $1,927.34 / $5,166.16	Professional		$238.96	$1,927.34	$5,166.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.20 / $264.77 / $669.51	Facility		$249.20	$264.77	$669.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.77 / $264.77 / $264.77	Professional		$264.77	$264.77	$264.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.82 / $1,950.00 / $3,611.25	Professional		$244.82	$1,950.00	$3,611.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.83 / $2,081.77 / $7,744.00	Professional		$366.83	$2,081.77	$7,744.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.88 / $1,541.37 / $2,877.22	Professional		$833.88	$1,541.37	$2,877.22