Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.11 / $1,067.11 / $1,067.11	Facility		$1,067.11	$1,067.11	$1,067.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.11 / $1,224.78 / $1,701.80	Professional		$1,067.11	$1,224.78	$1,701.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.46 / $1,179.22 / $4,155.64	Professional		$171.46	$1,179.22	$4,155.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.17 / $254.43 / $546.84	Facility		$203.17	$254.43	$546.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.27 / $216.27 / $216.27	Professional		$216.27	$216.27	$216.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $144.19 / $211.75	Facility		$144.19	$144.19	$211.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $144.19 / $2,951.25	Professional		$122.56	$144.19	$2,951.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.99 / $1,387.25 / $13,110.00	Professional		$272.99	$1,387.25	$13,110.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.67 / $910.24 / $1,562.48	Professional		$555.67	$910.24	$1,562.48