Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.96 / $1,297.38 / $2,068.00	Professional		$1,091.96	$1,297.38	$2,068.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.75 / $1,894.58 / $4,243.39	Professional		$185.75	$1,894.58	$4,243.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.62 / $220.60 / $2,978.11	Facility		$207.62	$220.60	$2,978.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.60 / $220.60 / $220.60	Professional		$220.60	$220.60	$220.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.60 / $1,436.52 / $1,436.52	Facility		$192.60	$1,436.52	$1,436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $1,436.52 / $3,759.38	Professional		$183.43	$1,436.52	$3,759.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.67 / $2,366.27 / $9,700.00	Professional		$251.67	$2,366.27	$9,700.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.83 / $1,170.18 / $2,136.04	Professional		$726.83	$1,170.18	$2,136.04