Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.33 / $413.78 / $695.80	Professional		$312.33	$413.78	$695.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $474.10 / $1,213.85	Professional		$52.00	$474.10	$1,213.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.39 / $74.23 / $716.52	Facility		$59.39	$74.23	$716.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $67.58 / $67.58	Professional		$67.58	$67.58	$67.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $232.12	Facility		$232.12	$232.12	$232.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $232.12 / $911.25	Professional		$59.95	$232.12	$911.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $796.31 / $1,667.00	Professional		$84.24	$796.31	$1,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.35 / $345.33 / $561.88	Professional		$220.35	$345.33	$561.88