Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.02 / $566.76 / $903.40	Professional		$477.02	$566.76	$903.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $615.49 / $1,853.75	Professional		$72.22	$615.49	$1,853.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.92 / $96.38 / $757.24	Facility		$81.92	$96.38	$757.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $81.92	Professional		$81.92	$81.92	$81.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.20 / $428.20 / $428.20	Facility		$428.20	$428.20	$428.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $428.20 / $1,117.50	Professional		$77.83	$428.20	$1,117.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $1,033.69 / $1,653.90	Professional		$109.84	$1,033.69	$1,653.90
United Facility/Professional Professional Modifier Low / Median / High Price $286.06 / $459.83 / $707.12	Professional		$286.06	$459.83	$707.12