Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,174.90	Professional		$630.96	$831.76	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $691.83 / $1,819.70	Professional		$81.28	$691.83	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $1,174.90	Facility		$128.82	$128.82	$1,174.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,230.27 / $2,570.40	Professional		$125.89	$1,230.27	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,621.81 / $3,890.45	Professional		$169.82	$1,621.81	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $446.68 / $891.25	Facility		$67.61	$446.68	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,148.15	Professional		$446.68	$691.83	$1,148.15