Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,382.74 / $6,395.34 / $10,193.60	Professional		$5,382.74	$6,395.34	$10,193.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.42 / $8,529.00 / $22,388.62	Professional		$816.42	$8,529.00	$22,388.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $612.80 / $1,087.45 / $14,680.55	Facility		$612.80	$1,087.45	$14,680.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,087.45 / $1,087.45 / $1,087.45	Professional		$1,087.45	$1,087.45	$1,087.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,109.46 / $5,109.46 / $6,183.41	Facility		$5,109.46	$5,109.46	$6,183.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.20 / $5,109.46 / $18,539.06	Professional		$904.20	$5,109.46	$18,539.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,728.47 / $6,728.47 / $6,728.47	Professional		$6,728.47	$6,728.47	$6,728.47
United Facility/Professional Professional Modifier Low / Median / High Price $2,508.03 / $4,255.04 / $8,016.65	Professional		$2,508.03	$4,255.04	$8,016.65