Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,016.27 / $4,771.80 / $7,522.74	Professional		$4,016.27	$4,771.80	$7,522.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.14 / $6,363.80 / $16,704.97	Professional		$609.14	$6,363.80	$16,704.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.22 / $811.38 / $10,953.70	Facility		$457.22	$811.38	$10,953.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $811.38 / $811.38 / $811.38	Professional		$811.38	$811.38	$811.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,969.00 / $3,969.00 / $4,613.63	Facility		$3,969.00	$3,969.00	$4,613.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.65 / $3,791.95 / $13,832.81	Professional		$674.65	$3,791.95	$13,832.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,020.18 / $5,020.18 / $5,020.18	Professional		$5,020.18	$5,020.18	$5,020.18
United Facility/Professional Facility Modifier Low / Median / High Price $218.32 / $954.57 / $4,234.72	Facility		$218.32	$954.57	$4,234.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,871.28 / $3,174.84 / $5,506.41	Professional		$1,871.28	$3,174.84	$5,506.41