Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $1,174.90	Professional		$489.78	$851.14	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $691.83 / $1,819.70	Professional		$95.50	$691.83	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $1,258.93	Facility		$138.04	$138.04	$1,258.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $851.14 / $2,089.30	Professional		$125.89	$851.14	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,621.81 / $5,888.44	Professional		$173.78	$1,621.81	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $457.09 / $912.01	Facility		$69.18	$457.09	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,148.15	Professional		$457.09	$691.83	$1,148.15