Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.31 / $2,016.60 / $2,819.54	Professional		$1,697.31	$2,016.60	$2,819.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.16 / $2,522.36 / $6,607.46	Professional		$273.16	$2,522.36	$6,607.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.49 / $291.36 / $3,490.13	Facility		$272.49	$291.36	$3,490.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $289.52 / $289.52	Professional		$289.52	$289.52	$289.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,254.90 / $2,254.90 / $2,387.82	Facility		$2,254.90	$2,254.90	$2,387.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $2,254.90 / $3,993.75	Professional		$267.70	$2,254.90	$3,993.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,199.03 / $3,199.03 / $3,199.03	Professional		$3,199.03	$3,199.03	$3,199.03
United Facility/Professional Professional Modifier Low / Median / High Price $892.27 / $1,870.56 / $3,438.11	Professional		$892.27	$1,870.56	$3,438.11