Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $1,737.80	Professional		$1,122.02	$1,288.25	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $1,412.54 / $2,691.53	Professional		$131.83	$1,412.54	$2,691.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,621.81 / $2,951.21	Professional		$190.55	$1,621.81	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $2,454.71 / $3,890.45	Professional		$239.88	$2,454.71	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $776.25 / $1,348.96	Facility		$95.50	$776.25	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $1,995.26	Professional		$724.44	$1,230.27	$1,995.26