Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,456.54 / $8,912.51	Professional		$5,370.32	$6,456.54	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $6,309.57 / $11,748.98	Professional		$724.44	$6,309.57	$11,748.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $14,791.08	Facility		$1,096.48	$1,096.48	$14,791.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,165.95	Facility		$5,128.61	$5,128.61	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $5,128.61 / $14,791.08	Professional		$912.01	$5,128.61	$14,791.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,318.26 / $5,370.32	Facility		$302.00	$1,318.26	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,265.80 / $7,943.28	Professional		$2,511.89	$4,265.80	$7,943.28