Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,175.34 / $2,175.34 / $2,175.34	Facility		$2,175.34	$2,175.34	$2,175.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,175.34 / $2,584.56 / $3,864.00	Professional		$2,175.34	$2,584.56	$3,864.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.45 / $4,299.00 / $9,836.49	Professional		$377.45	$4,299.00	$9,836.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.86 / $454.52 / $956.52	Facility		$357.86	$454.52	$956.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $454.52 / $454.52 / $454.52	Professional		$454.52	$454.52	$454.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $248.35 / $389.53	Professional		$248.35	$248.35	$389.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.09 / $885.09 / $911.64	Professional		$885.09	$885.09	$911.64
United Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $257.94 / $2,517.41	Professional		$171.96	$257.94	$2,517.41