Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.34 / $1,144.56 / $1,804.41	Professional		$963.34	$1,144.56	$1,804.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.31 / $1,671.50 / $3,743.54	Professional		$162.31	$1,671.50	$3,743.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.18 / $215.16 / $2,627.44	Facility		$183.18	$215.16	$2,627.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.62 / $194.62 / $194.62	Professional		$194.62	$194.62	$194.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.31 / $1,082.51 / $1,659.96	Facility		$173.31	$1,082.51	$1,659.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $1,082.51 / $2,655.00	Professional		$161.82	$1,082.51	$2,655.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.80 / $2,087.53 / $7,305.00	Professional		$221.80	$2,087.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.11 / $1,056.11 / $1,678.88	Professional		$641.11	$1,056.11	$1,678.88