Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,884.03	Professional		$1,513.56	$1,995.26	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,659.59 / $2,511.89	Professional		$213.80	$1,659.59	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $2,818.38	Facility		$208.93	$208.93	$2,818.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,715.35 / $3,715.35	Facility		$3,235.94	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,162.28 / $3,715.35	Professional		$2,884.03	$3,162.28	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $3,090.30	Professional		$954.99	$1,479.11	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $338.84 / $2,884.03	Facility		$169.82	$338.84	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $707.95 / $3,311.31	Professional		$177.83	$707.95	$3,311.31