Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,202.56 / $4,993.14 / $7,647.90	Professional		$4,202.56	$4,993.14	$7,647.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.79 / $7,081.06 / $14,979.42	Professional		$764.79	$7,081.06	$14,979.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $842.19 / $894.83 / $7,564.02	Facility		$842.19	$894.83	$7,564.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $847.42 / $847.42 / $894.83	Professional		$847.42	$847.42	$894.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,933.43 / $4,933.43 / $6,993.18	Facility		$4,933.43	$4,933.43	$6,993.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.57 / $4,933.43 / $11,557.50	Professional		$783.57	$4,933.43	$11,557.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $8,304.95 / $22,336.00	Professional		$1,182.59	$8,304.95	$22,336.00
United Facility/Professional Facility Modifier Low / Median / High Price $468.13 / $3,531.85 / $7,866.95	Facility		$468.13	$3,531.85	$7,866.95
United Facility/Professional Professional Modifier Low / Median / High Price $3,312.40 / $5,507.49 / $9,679.29	Professional		$3,312.40	$5,507.49	$9,679.29