Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $276.77 / $387.00	Professional		$222.25	$276.77	$387.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $353.45 / $865.44	Professional		$39.18	$353.45	$865.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $57.90 / $579.26	Facility		$41.02	$57.90	$579.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $43.58 / $43.58	Professional		$43.58	$43.58	$43.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $382.81 / $382.81	Facility		$264.39	$382.81	$382.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $382.81 / $611.25	Professional		$40.29	$382.81	$611.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $444.11 / $871.00	Professional		$68.25	$444.11	$871.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.07 / $249.84 / $393.02	Professional		$144.07	$249.84	$393.02