Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.72 / $831.57 / $1,398.50	Professional		$627.72	$831.57	$1,398.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.86 / $961.80 / $2,439.31	Professional		$101.86	$961.80	$2,439.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.34 / $133.91 / $1,224.02	Facility		$119.34	$133.91	$1,224.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.18 / $149.18 / $149.18	Professional		$149.18	$149.18	$149.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $1,223.23 / $2,160.94	Professional		$124.05	$1,223.23	$2,160.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.55 / $1,600.17 / $2,560.27	Professional		$169.55	$1,600.17	$2,560.27
United Facility/Professional Professional Modifier Low / Median / High Price $442.70 / $711.65 / $1,129.20	Professional		$442.70	$711.65	$1,129.20