Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.54 / $1,306.54 / $1,306.54	Facility		$1,306.54	$1,306.54	$1,306.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,306.54 / $1,701.99 / $2,411.53	Professional		$1,306.54	$1,701.99	$2,411.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.12 / $1,995.80 / $5,085.50	Professional		$273.12	$1,995.80	$5,085.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.38 / $387.51 / $2,810.58	Facility		$190.38	$387.51	$2,810.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.19 / $208.19 / $208.19	Professional		$208.19	$208.19	$208.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $2,359.19	Facility		$303.33	$303.33	$2,359.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $257.83 / $3,609.38	Professional		$192.51	$257.83	$3,609.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.88 / $1,464.33 / $3,082.80	Professional		$688.88	$1,464.33	$3,082.80
United Facility/Professional Professional Modifier Low / Median / High Price $103.04 / $280.23 / $2,564.33	Professional		$103.04	$280.23	$2,564.33