Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.48 / $897.60 / $1,430.70	Professional		$755.48	$897.60	$1,430.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $974.83 / $2,935.79	Professional		$122.57	$974.83	$2,935.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $143.65 / $1,269.25	Facility		$128.25	$143.65	$1,269.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $137.32 / $137.32	Professional		$137.32	$137.32	$137.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $860.04 / $860.04	Facility		$860.04	$860.04	$860.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $860.04 / $2,081.25	Professional		$126.91	$860.04	$2,081.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.82 / $1,637.22 / $6,195.00	Professional		$173.82	$1,637.22	$6,195.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.89 / $697.47 / $1,155.46	Professional		$447.89	$697.47	$1,155.46