Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,621.81	Professional		$977.24	$1,148.15	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $1,202.26 / $2,344.23	Professional		$123.03	$1,202.26	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $2,630.27	Facility		$194.98	$194.98	$2,630.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,071.52 / $1,071.52	Facility		$169.82	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,071.52 / $2,691.53	Professional		$162.18	$1,071.52	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $2,089.30 / $10,000.00	Professional		$223.87	$2,089.30	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $660.69 / $1,174.90	Facility		$89.13	$660.69	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,071.52 / $1,737.80	Professional		$630.96	$1,071.52	$1,737.80