Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,430.77 / $1,699.92 / $2,520.30	Professional		$1,430.77	$1,699.92	$2,520.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.06 / $2,245.57 / $5,570.60	Professional		$246.06	$2,245.57	$5,570.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.73 / $271.01 / $3,547.38	Facility		$208.73	$271.01	$3,547.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $266.22 / $266.22 / $266.22	Professional		$266.22	$266.22	$266.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,918.38 / $2,225.09 / $2,225.09	Facility		$1,918.38	$2,225.09	$2,225.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.17 / $2,225.09 / $3,768.75	Professional		$246.17	$2,225.09	$3,768.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,291.78 / $2,427.34 / $5,110.18	Professional		$2,291.78	$2,427.34	$5,110.18
United Facility/Professional Professional Modifier Low / Median / High Price $751.97 / $1,336.98 / $2,210.30	Professional		$751.97	$1,336.98	$2,210.30