Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,442.43 / $4,033.92 / $5,765.80	Professional		$3,442.43	$4,033.92	$5,765.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.75 / $5,139.87 / $13,865.80	Professional		$543.75	$5,139.87	$13,865.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $461.25 / $683.78 / $8,203.25	Facility		$461.25	$683.78	$8,203.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $665.18 / $665.18 / $665.18	Professional		$665.18	$665.18	$665.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,170.18 / $5,587.01 / $5,587.01	Facility		$4,170.18	$5,587.01	$5,587.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $5,587.01 / $9,435.00	Professional		$615.05	$5,587.01	$9,435.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,064.35 / $5,064.35 / $5,064.35	Professional		$5,064.35	$5,064.35	$5,064.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,843.50 / $2,961.16 / $5,129.18	Professional		$1,843.50	$2,961.16	$5,129.18