Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,731.19 / $2,731.19 / $2,731.19	Facility		$2,731.19	$2,731.19	$2,731.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,731.19 / $3,244.98 / $4,574.89	Professional		$2,731.19	$3,244.98	$4,574.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.43 / $4,327.68 / $10,415.28	Professional		$471.43	$4,327.68	$10,415.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $477.21 / $743.74 / $5,254.17	Facility		$477.21	$743.74	$5,254.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $499.65 / $499.65 / $499.65	Professional		$499.65	$499.65	$499.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $3,417.67	Facility		$200.00	$200.00	$3,417.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $3,344.98 / $8,118.75	Professional		$200.00	$3,344.98	$8,118.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $923.47 / $4,375.75 / $23,232.00	Professional		$923.47	$4,375.75	$23,232.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,752.75 / $3,082.40 / $5,429.55	Professional		$1,752.75	$3,082.40	$5,429.55