Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $707.95	Professional		$446.68	$562.34	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $436.52 / $1,148.15	Professional		$60.26	$436.52	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $758.58	Facility		$81.28	$81.28	$758.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $426.58 / $1,122.02	Professional		$77.62	$426.58	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,023.29 / $1,659.59	Professional		$109.65	$1,023.29	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $288.40 / $575.44	Facility		$43.65	$288.40	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $724.44	Professional		$288.40	$436.52	$724.44