Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $193.82 / $308.93	Professional		$163.13	$193.82	$308.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.73 / $387.73 / $387.73	Facility		$387.73	$387.73	$387.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $274.02 / $633.91	Professional		$24.70	$274.02	$633.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $247.21 / $387.73	Facility		$31.02	$247.21	$387.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $227.94 / $303.87	Professional		$30.40	$227.94	$303.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.16 / $238.16 / $238.16	Facility		$238.16	$238.16	$238.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $238.16 / $382.13	Professional		$202.44	$238.16	$382.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $387.73 / $620.37	Professional		$37.33	$387.73	$620.37
United Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $182.08 / $319.13	Professional		$114.02	$182.08	$319.13