Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,148.15	Professional		$630.96	$831.76	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $676.08 / $1,778.28	Professional		$79.43	$676.08	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $1,380.38	Facility		$147.91	$147.91	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $1,230.27 / $2,137.96	Professional		$123.03	$1,230.27	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,584.89 / $2,570.40	Professional		$169.82	$1,584.89	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $446.68 / $891.25	Facility		$67.61	$446.68	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,122.02	Professional		$446.68	$676.08	$1,122.02