Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.71 / $685.20 / $1,092.09	Professional		$576.71	$685.20	$1,092.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $744.13 / $2,241.01	Professional		$88.00	$744.13	$2,241.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $116.50 / $1,124.56	Facility		$109.65	$116.50	$1,124.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $116.50 / $116.50	Professional		$116.50	$116.50	$116.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Facility		$359.59	$359.59	$359.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $359.59 / $1,687.50	Professional		$94.09	$359.59	$1,687.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $949.89 / $1,999.76	Professional		$132.22	$949.89	$1,999.76
United Facility/Professional Professional Modifier Low / Median / High Price $345.79 / $555.78 / $1,005.06	Professional		$345.79	$555.78	$1,005.06