Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,950.97 / $4,670.39 / $6,527.10	Professional		$3,950.97	$4,670.39	$6,527.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.47 / $5,892.20 / $15,750.12	Professional		$639.47	$5,892.20	$15,750.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $542.47 / $793.26 / $9,289.93	Facility		$542.47	$793.26	$9,289.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $755.57 / $755.57 / $755.57	Professional		$755.57	$755.57	$755.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,929.30 / $6,410.99 / $6,410.99	Facility		$4,929.30	$6,410.99	$6,410.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.64 / $6,410.99 / $10,770.00	Professional		$698.64	$6,410.99	$10,770.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,955.83 / $6,205.85 / $13,064.94	Professional		$5,955.83	$6,205.85	$13,064.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,168.07 / $3,545.52 / $5,958.05	Professional		$2,168.07	$3,545.52	$5,958.05