Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.95 / $555.95 / $627.51	Facility		$555.95	$555.95	$627.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.95 / $736.50 / $1,005.44	Professional		$555.95	$736.50	$1,005.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $757.40 / $1,969.95	Professional		$121.22	$757.40	$1,969.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $141.47 / $258.19	Facility		$82.20	$141.47	$258.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $82.93 / $112.21	Professional		$82.93	$82.93	$112.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $1,045.06	Facility		$95.00	$95.00	$1,045.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $71.76	Professional		$24.99	$24.99	$71.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.01 / $434.01 / $447.03	Professional		$434.01	$434.01	$447.03
United Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $103.99 / $779.26	Professional		$41.84	$103.99	$779.26