Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,862.09	Professional		$1,122.02	$1,318.26	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $2,041.74 / $3,019.95	Professional		$204.17	$2,041.74	$3,019.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,698.24 / $3,019.95	Facility		$223.87	$1,698.24	$3,019.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,698.24 / $2,238.72	Professional		$223.87	$1,698.24	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,548.13	Professional		$1,905.46	$2,238.72	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $6,025.60	Professional		$1,949.84	$2,691.53	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $891.25 / $1,819.70	Facility		$109.65	$891.25	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $2,454.71	Professional		$831.76	$1,318.26	$2,454.71