Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.15 / $222.36 / $350.20	Professional		$187.15	$222.36	$350.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $314.42 / $714.80	Professional		$35.02	$314.42	$714.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.59 / $37.82 / $319.75	Facility		$35.59	$37.82	$319.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $37.81 / $37.82	Professional		$37.81	$37.81	$37.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $219.78 / $219.78	Facility		$38.92	$219.78	$219.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $219.78 / $646.88	Professional		$35.88	$219.78	$646.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $477.28 / $972.00	Professional		$50.12	$477.28	$972.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $219.56 / $383.31	Professional		$146.38	$219.56	$383.31