Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.73 / $552.05 / $892.30	Professional		$416.73	$552.05	$892.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $608.02 / $1,619.42	Professional		$63.09	$608.02	$1,619.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $95.18 / $780.96	Facility		$78.09	$95.18	$780.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $80.90 / $80.90	Professional		$80.90	$80.90	$80.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.90 / $687.90 / $687.90	Facility		$687.90	$687.90	$687.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $687.90 / $1,188.75	Professional		$76.87	$687.90	$1,188.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $1,021.10 / $1,633.76	Professional		$108.77	$1,021.10	$1,633.76
United Facility/Professional Professional Modifier Low / Median / High Price $279.38 / $442.97 / $698.46	Professional		$279.38	$442.97	$698.46