Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,802.55 / $3,343.29 / $4,483.60	Professional		$2,802.55	$3,343.29	$4,483.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.54 / $3,943.87 / $10,910.79	Professional		$455.54	$3,943.87	$10,910.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.89 / $496.81 / $6,706.91	Facility		$449.89	$496.81	$6,706.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $496.81 / $496.81 / $496.81	Professional		$496.81	$496.81	$496.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,165.54 / $4,303.28 / $4,303.28	Facility		$3,165.54	$4,303.28	$4,303.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $4,303.28 / $6,776.25	Professional		$459.38	$4,303.28	$6,776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,939.62 / $4,939.62 / $4,939.62	Professional		$4,939.62	$4,939.62	$4,939.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,473.15 / $2,888.24 / $5,851.43	Professional		$1,473.15	$2,888.24	$5,851.43