Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,454.71	Professional		$1,479.11	$1,819.70	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,905.46 / $2,884.03	Professional		$234.42	$1,905.46	$2,884.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $3,235.94	Facility		$275.42	$275.42	$3,235.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,398.83	Facility		$2,041.74	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $2,398.83 / $3,981.07	Professional		$251.19	$2,398.83	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $331.13 / $1,819.70	Facility		$109.65	$331.13	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $2,398.83	Professional		$891.25	$1,445.44	$2,398.83