Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.65 / $719.58 / $1,146.90	Professional		$605.65	$719.58	$1,146.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $781.38 / $2,353.60	Professional		$91.68	$781.38	$2,353.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.01 / $122.36 / $961.27	Facility		$104.01	$122.36	$961.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $104.01 / $104.01	Professional		$104.01	$104.01	$104.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $200.00 / $1,590.00	Professional		$98.81	$200.00	$1,590.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $1,312.44 / $2,165.00	Professional		$139.69	$1,312.44	$2,165.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.05 / $569.15 / $926.00	Professional		$363.05	$569.15	$926.00