Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $7,762.47	Professional		$4,677.35	$5,495.41	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $5,495.41 / $10,232.93	Professional		$630.96	$5,495.41	$10,232.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $12,589.25	Facility		$933.25	$933.25	$12,589.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $5,370.32	Facility		$3,715.35	$3,715.35	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $3,715.35 / $6,025.60	Professional		$776.25	$3,715.35	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,122.02 / $4,677.35	Facility		$257.04	$1,122.02	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $7,079.46	Professional		$2,187.76	$3,715.35	$7,079.46