Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $4,365.16	Professional		$2,630.27	$3,162.28	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,311.31 / $6,456.54	Professional		$398.11	$3,311.31	$6,456.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $6,309.57	Facility		$537.03	$537.03	$6,309.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $3,467.37 / $7,413.10	Professional		$501.19	$3,467.37	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $6,760.83 / $10,715.19	Professional		$707.95	$6,760.83	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,137.96 / $4,570.88	Facility		$281.84	$2,137.96	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $6,025.60	Professional		$2,089.30	$3,388.44	$6,025.60