Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,011.32 / $3,577.92 / $5,702.90	Professional		$3,011.32	$3,577.92	$5,702.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $5,058.43 / $12,524.92	Professional		$520.00	$5,058.43	$12,524.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $572.57 / $674.76 / $1,707.85	Facility		$572.57	$674.76	$1,707.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $608.39 / $608.39 / $675.44	Professional		$608.39	$608.39	$675.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $5,106.14	Facility		$5,106.14	$5,106.14	$5,106.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.27 / $5,106.14 / $8,298.75	Professional		$560.27	$5,106.14	$8,298.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $716.60 / $6,747.05 / $11,876.00	Professional		$716.60	$6,747.05	$11,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,586.96 / $2,532.60 / $6,540.51	Professional		$1,586.96	$2,532.60	$6,540.51