Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,432.33 / $5,060.46 / $8,767.50	Professional		$4,432.33	$5,060.46	$8,767.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.05 / $7,034.33 / $18,189.50	Professional		$647.05	$7,034.33	$18,189.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $548.90 / $917.55 / $11,927.12	Facility		$548.90	$917.55	$11,927.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $883.49 / $883.49 / $883.49	Professional		$883.49	$883.49	$883.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,180.63 / $7,608.68 / $7,608.68	Facility		$5,180.63	$7,608.68	$7,608.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.92 / $7,608.68 / $12,641.25	Professional		$816.92	$7,608.68	$12,641.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,026.52 / $6,026.52 / $6,026.52	Professional		$6,026.52	$6,026.52	$6,026.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,246.46 / $3,626.80 / $6,467.37	Professional		$2,246.46	$3,626.80	$6,467.37