Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,397.34 / $5,224.56 / $8,327.50	Professional		$4,397.34	$5,224.56	$8,327.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.95 / $6,967.67 / $18,290.12	Professional		$666.95	$6,967.67	$18,290.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $491.53 / $888.38 / $11,993.10	Facility		$491.53	$888.38	$11,993.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $888.38 / $888.38 / $888.38	Professional		$888.38	$888.38	$888.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,818.66 / $3,818.66 / $3,818.66	Facility		$3,818.66	$3,818.66	$3,818.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.67 / $3,818.66 / $12,116.25	Professional		$738.67	$3,818.66	$12,116.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,496.70 / $5,496.70 / $5,496.70	Professional		$5,496.70	$5,496.70	$5,496.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,317.39 / $3,371.16 / $6,028.89	Professional		$2,317.39	$3,371.16	$6,028.89