Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,119.91 / $1,330.58 / $2,036.52	Professional		$1,119.91	$1,330.58	$2,036.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,639.01 / $2,639.01 / $2,639.01	Facility		$2,639.01	$2,639.01	$2,639.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.68 / $2,024.42 / $4,361.05	Professional		$205.68	$2,024.42	$4,361.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.32 / $1,682.37 / $3,028.25	Facility		$224.32	$1,682.37	$3,028.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.32 / $1,682.37 / $2,243.16	Professional		$224.32	$1,682.37	$2,243.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.64 / $2,217.64 / $2,217.64	Facility		$2,217.64	$2,217.64	$2,217.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,884.99 / $2,217.64 / $3,059.25	Professional		$1,884.99	$2,217.64	$3,059.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,005.65 / $2,639.01 / $7,744.00	Professional		$2,005.65	$2,639.01	$7,744.00
United Facility/Professional Professional Modifier Low / Median / High Price $840.33 / $1,324.07 / $2,562.14	Professional		$840.33	$1,324.07	$2,562.14