Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $676.08	Professional		$398.11	$489.78	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $575.44 / $912.01	Professional		$52.48	$575.44	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $933.25	Facility		$93.33	$93.33	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $851.14	Professional		$309.03	$363.08	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $891.25 / $3,548.13	Professional		$138.04	$891.25	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $371.54 / $660.69	Facility		$44.67	$371.54	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $870.96	Professional		$354.81	$524.81	$870.96