Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,919.86 / $8,221.62 / $13,104.50	Professional		$6,919.86	$8,221.62	$13,104.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.55 / $10,964.60 / $28,782.07	Professional		$1,049.55	$10,964.60	$28,782.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $787.81 / $1,397.99 / $8,804.50	Facility		$787.81	$1,397.99	$8,804.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,397.99 / $1,397.99 / $1,397.99	Professional		$1,397.99	$1,397.99	$1,397.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,102.62 / $10,102.62 / $10,102.62	Facility		$10,102.62	$10,102.62	$10,102.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.40 / $10,102.62 / $19,068.75	Professional		$1,162.40	$10,102.62	$19,068.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,649.85 / $8,649.85 / $8,649.85	Professional		$8,649.85	$8,649.85	$8,649.85
United Facility/Professional Professional Modifier Low / Median / High Price $3,224.19 / $5,247.75 / $9,487.31	Professional		$3,224.19	$5,247.75	$9,487.31