Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.50 / $1,258.81 / $2,024.55	Professional		$1,059.50	$1,258.81	$2,024.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,450.28 / $2,450.28 / $2,450.28	Facility		$2,450.28	$2,450.28	$2,450.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.51 / $1,965.62 / $4,125.63	Professional		$196.51	$1,965.62	$4,125.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.28 / $1,580.51 / $2,761.56	Facility		$208.28	$1,580.51	$2,761.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.28 / $1,562.06 / $2,082.73	Professional		$208.28	$1,562.06	$2,082.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.06 / $1,772.06 / $2,111.63	Facility		$1,772.06	$1,772.06	$2,111.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.25 / $1,772.06 / $2,831.25	Professional		$1,506.25	$1,772.06	$2,831.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.21 / $2,450.28 / $7,785.00	Professional		$1,862.21	$2,450.28	$7,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $836.23 / $1,791.25	Facility		$109.51	$836.23	$1,791.25
United Facility/Professional Professional Modifier Low / Median / High Price $835.14 / $1,310.18 / $2,712.46	Professional		$835.14	$1,310.18	$2,712.46