Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.93 / $627.00 / $961.90	Professional		$507.93	$627.00	$961.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $771.09 / $1,973.81	Professional		$80.00	$771.09	$1,973.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $115.83 / $948.52	Facility		$96.58	$115.83	$948.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $102.61 / $102.61	Professional		$102.61	$102.61	$102.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $999.36	Facility		$999.36	$999.36	$999.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $999.36 / $1,646.25	Professional		$109.71	$999.36	$1,646.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.56 / $1,294.81 / $2,323.00	Professional		$137.56	$1,294.81	$2,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.24 / $561.74 / $944.95	Professional		$358.24	$561.74	$944.95