Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,529.75 / $5,399.40 / $9,026.00	Professional		$4,529.75	$5,399.40	$9,026.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.64 / $7,251.87 / $18,360.59	Professional		$704.64	$7,251.87	$18,360.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $597.74 / $970.96 / $11,890.85	Facility		$597.74	$970.96	$11,890.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $880.80 / $880.80 / $880.80	Professional		$880.80	$880.80	$880.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,451.66 / $7,860.06 / $7,860.06	Facility		$5,451.66	$7,860.06	$7,860.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.44 / $7,860.06 / $13,008.75	Professional		$814.44	$7,860.06	$13,008.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,562.79 / $6,562.79 / $6,562.79	Professional		$6,562.79	$6,562.79	$6,562.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,391.34 / $3,906.72 / $7,848.06	Professional		$2,391.34	$3,906.72	$7,848.06