Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,819.70	Professional		$1,096.48	$1,318.26	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,380.38 / $2,691.53	Professional		$165.96	$1,380.38	$2,691.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $1,445.44	Facility		$223.87	$223.87	$1,445.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $1,445.44 / $3,019.95	Professional		$186.21	$1,445.44	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $6,025.60	Professional		$1,819.70	$2,951.21	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $758.58 / $1,318.26	Facility		$91.20	$758.58	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $1,819.70	Professional		$645.65	$1,096.48	$1,819.70