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 / $1,824.30	Professional		$963.34	$1,144.56	$1,824.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.87 / $1,671.50 / $3,743.54	Professional		$163.87	$1,671.50	$3,743.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.18 / $194.62 / $2,627.44	Facility		$183.18	$194.62	$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 $975.26 / $975.26 / $1,659.96	Facility		$975.26	$975.26	$1,659.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $975.26 / $2,655.00	Professional		$161.82	$975.26	$2,655.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.54 / $2,087.53 / $7,584.00	Professional		$233.54	$2,087.53	$7,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.11 / $1,056.11 / $1,884.54	Professional		$641.11	$1,056.11	$1,884.54