Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,861.33 / $4,587.72 / $7,312.40	Professional		$3,861.33	$4,587.72	$7,312.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.66 / $6,118.33 / $16,060.62	Professional		$585.66	$6,118.33	$16,060.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $439.61 / $780.09 / $10,531.19	Facility		$439.61	$780.09	$10,531.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $780.09 / $780.09 / $780.09	Professional		$780.09	$780.09	$780.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $3,087.00 / $4,435.68	Facility		$3,087.00	$3,087.00	$4,435.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.63 / $3,087.00 / $10,638.75	Professional		$648.63	$3,087.00	$10,638.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,826.67 / $4,826.67 / $4,826.67	Professional		$4,826.67	$4,826.67	$4,826.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,799.19 / $2,999.92 / $5,717.92	Professional		$1,799.19	$2,999.92	$5,717.92