Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,187.76	Professional		$1,288.25	$1,548.82	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,621.81 / $3,162.28	Professional		$165.96	$1,621.81	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $3,548.13	Facility		$263.03	$263.03	$3,548.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,412.54 / $3,548.13	Professional		$218.78	$1,412.54	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $2,818.38 / $5,128.61	Professional		$302.00	$2,818.38	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $891.25 / $1,548.82	Facility		$117.49	$891.25	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $2,290.87	Professional		$851.14	$1,412.54	$2,290.87