Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,981.07	Professional		$2,137.96	$2,818.38	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,737.80 / $5,248.07	Professional		$269.15	$1,737.80	$5,248.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $3,630.78 / $5,888.44	Professional		$407.38	$3,630.78	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $5,370.32 / $10,964.78	Professional		$575.44	$5,370.32	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $912.01 / $2,818.38	Facility		$208.93	$912.01	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $3,715.35	Professional		$1,174.90	$1,862.09	$3,715.35