Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,265.80 / $6,606.93	Facility		$1,819.70	$4,265.80	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,548.82	Professional		$1,000.00	$1,071.52	$1,548.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,467.37	Professional		$2,754.23	$2,754.23	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,235.94	Professional		$1,258.93	$1,819.70	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,258.93 / $1,412.54	Facility		$676.08	$1,258.93	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,548.82	Professional		$588.84	$891.25	$1,548.82