Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,571.41 / $3,161.61 / $4,177.56	Professional		$2,571.41	$3,161.61	$4,177.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.57 / $3,492.40 / $10,010.79	Professional		$426.57	$3,492.40	$10,010.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $388.38 / $452.10 / $5,589.82	Facility		$388.38	$452.10	$5,589.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $452.10 / $452.10 / $452.10	Professional		$452.10	$452.10	$452.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $3,552.71	Facility		$2,187.00	$2,187.00	$3,552.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.04 / $2,187.00 / $6,363.75	Professional		$418.04	$2,187.00	$6,363.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,600.56 / $4,600.56 / $4,600.56	Professional		$4,600.56	$4,600.56	$4,600.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,351.68 / $2,689.96 / $4,759.00	Professional		$1,351.68	$2,689.96	$4,759.00