Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $4,786.30	Professional		$2,884.03	$3,548.13	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $3,630.78 / $6,456.54	Professional		$489.78	$3,630.78	$6,456.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $6,918.31	Facility		$524.81	$524.81	$6,918.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $3,715.35	Facility		$426.58	$426.58	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $4,570.88 / $6,760.83	Professional		$426.58	$4,570.88	$6,760.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $7,413.10 / $15,848.93	Professional		$4,570.88	$7,413.10	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,454.71 / $4,265.80	Facility		$323.59	$2,454.71	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $5,754.40	Professional		$2,290.87	$3,311.31	$5,754.40