Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,686.95 / $2,116.82 / $2,787.84	Professional		$1,686.95	$2,116.82	$2,787.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.43 / $2,267.00 / $6,567.12	Professional		$273.43	$2,267.00	$6,567.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.74 / $289.79 / $3,551.28	Facility		$272.74	$289.79	$3,551.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.79 / $289.79 / $289.79	Professional		$289.79	$289.79	$289.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,362.19 / $2,592.00 / $2,592.00	Facility		$2,362.19	$2,592.00	$2,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $2,592.00 / $3,993.75	Professional		$267.95	$2,592.00	$3,993.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,142.32 / $3,142.32 / $3,142.32	Professional		$3,142.32	$3,142.32	$3,142.32
United Facility/Professional Professional Modifier Low / Median / High Price $911.03 / $1,837.36 / $2,999.72	Professional		$911.03	$1,837.36	$2,999.72