Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.74 / $1,306.61 / $2,002.30	Professional		$1,099.74	$1,306.61	$2,002.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.37 / $1,924.11 / $4,066.67	Professional		$194.37	$1,924.11	$4,066.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.11 / $222.18 / $1,877.89	Facility		$209.11	$222.18	$1,877.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.18 / $222.18 / $222.18	Professional		$222.18	$222.18	$222.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $1,450.41	Facility		$1,450.41	$1,450.41	$1,450.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $1,450.41 / $3,787.50	Professional		$184.74	$1,450.41	$3,787.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,811.21 / $2,942.71 / $6,389.00	Professional		$1,811.21	$2,942.71	$6,389.00
United Facility/Professional Professional Modifier Low / Median / High Price $731.87 / $1,097.81 / $1,804.50	Professional		$731.87	$1,097.81	$1,804.50