Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,329.61 / $1,579.73 / $2,517.94	Professional		$1,329.61	$1,579.73	$2,517.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,160.19 / $3,160.19 / $3,160.19	Facility		$3,160.19	$3,160.19	$3,160.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.18 / $2,233.48 / $5,166.85	Professional		$212.18	$2,233.48	$5,166.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.92 / $1,996.91 / $3,160.19	Facility		$253.92	$1,996.91	$3,160.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.11 / $2,124.42 / $2,686.16	Professional		$261.11	$2,124.42	$2,686.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $1,786.79	Facility		$1,786.79	$1,786.79	$1,786.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.77 / $1,786.79 / $3,663.75	Professional		$1,518.77	$1,786.79	$3,663.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.72 / $3,160.19 / $5,056.30	Professional		$300.72	$3,160.19	$5,056.30
United Facility/Professional Professional Modifier Low / Median / High Price $929.26 / $1,484.03 / $2,601.06	Professional		$929.26	$1,484.03	$2,601.06