Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.26 / $837.59 / $1,197.30	Professional		$632.26	$837.59	$1,197.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $854.00 / $2,456.86	Professional		$102.57	$854.00	$2,456.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.22 / $146.16 / $1,180.55	Facility		$120.22	$146.16	$1,180.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $127.73 / $127.73	Professional		$127.73	$127.73	$127.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $1,232.30 / $2,564.06	Professional		$124.95	$1,232.30	$2,564.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.62 / $1,612.04 / $4,062.00	Professional		$170.62	$1,612.04	$4,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.85 / $698.88 / $1,176.39	Professional		$445.85	$698.88	$1,176.39