Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,337.59 / $2,908.00 / $3,767.39	Professional		$2,337.59	$2,908.00	$3,767.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.25 / $3,236.07 / $9,100.54	Professional		$386.25	$3,236.07	$9,100.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $383.60 / $409.37 / $4,753.29	Facility		$383.60	$409.37	$4,753.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $409.37 / $409.37 / $409.37	Professional		$409.37	$409.37	$409.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $3,172.80	Facility		$2,673.00	$2,673.00	$3,172.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.53 / $2,673.00 / $5,756.25	Professional		$378.53	$2,673.00	$5,756.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,211.54 / $4,211.54 / $4,211.54	Professional		$4,211.54	$4,211.54	$4,211.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,228.77 / $2,465.87 / $4,211.54	Professional		$1,228.77	$2,465.87	$4,211.54