Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,479.30 / $5,321.94 / $8,482.70	Professional		$4,479.30	$5,321.94	$8,482.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.38 / $7,097.53 / $18,631.02	Professional		$679.38	$7,097.53	$18,631.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $509.95 / $904.94 / $12,216.63	Facility		$509.95	$904.94	$12,216.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $904.94 / $904.94 / $904.94	Professional		$904.94	$904.94	$904.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,145.60 / $6,539.60 / $6,539.60	Facility		$5,145.60	$6,539.60	$6,539.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.44 / $6,539.60 / $12,341.25	Professional		$752.44	$6,539.60	$12,341.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,599.01 / $5,599.01 / $5,599.01	Professional		$5,599.01	$5,599.01	$5,599.01
United Facility/Professional Professional Modifier Low / Median / High Price $2,087.04 / $3,536.22 / $6,777.76	Professional		$2,087.04	$3,536.22	$6,777.76