Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $12,589.25	Professional		$7,585.78	$9,120.11	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $10,715.19 / $16,595.87	Professional		$1,023.29	$10,715.19	$16,595.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $20,892.96	Facility		$1,548.82	$1,548.82	$20,892.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $11,220.18 / $11,220.18	Facility		$8,709.64	$11,220.18	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $11,220.18 / $20,892.96	Professional		$1,288.25	$11,220.18	$20,892.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Professional		$9,549.93	$9,549.93	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,862.09 / $7,762.47	Facility		$426.58	$1,862.09	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,025.60 / $11,220.18	Professional		$3,548.13	$6,025.60	$11,220.18