Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.50 / $671.88 / $1,039.30	Professional		$565.50	$671.88	$1,039.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $956.71 / $2,163.79	Professional		$103.93	$956.71	$2,163.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.19 / $117.08 / $989.65	Facility		$110.19	$117.08	$989.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $115.16 / $117.08	Professional		$115.16	$115.16	$117.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.40 / $833.40 / $950.31	Facility		$833.40	$833.40	$950.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $833.40 / $1,571.25	Professional		$106.49	$833.40	$1,571.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,086.59 / $1,784.02 / $4,637.00	Professional		$1,086.59	$1,784.02	$4,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.72 / $737.14 / $1,315.36	Professional		$445.72	$737.14	$1,315.36