Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,800.38 / $2,139.06 / $2,892.00	Professional		$1,800.38	$2,139.06	$2,892.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $2,710.08 / $7,008.90	Professional		$292.50	$2,710.08	$7,008.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.77 / $310.01 / $3,547.38	Facility		$291.77	$310.01	$3,547.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $310.01 / $310.01 / $310.01	Professional		$310.01	$310.01	$310.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,434.80 / $2,671.66 / $2,671.66	Facility		$2,434.80	$2,671.66	$2,671.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $2,671.66 / $4,515.00	Professional		$286.64	$2,671.66	$4,515.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,340.49 / $3,340.49 / $3,340.49	Professional		$3,340.49	$3,340.49	$3,340.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.93 / $1,953.12 / $3,276.65	Professional		$1,215.93	$1,953.12	$3,276.65