Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.75 / $575.94 / $823.30	Professional		$434.75	$575.94	$823.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $660.00 / $1,689.44	Professional		$71.00	$660.00	$1,689.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.66 / $99.49 / $847.78	Facility		$82.66	$99.49	$847.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $99.49 / $99.49	Professional		$99.49	$99.49	$99.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.73 / $746.73 / $746.73	Facility		$746.73	$746.73	$746.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $746.73 / $1,196.25	Professional		$85.92	$746.73	$1,196.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.30 / $1,108.50 / $2,033.00	Professional		$117.30	$1,108.50	$2,033.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.63 / $490.66 / $891.50	Professional		$306.63	$490.66	$891.50