Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $343.39 / $547.33	Professional		$289.02	$343.39	$547.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $686.93 / $686.93 / $686.93	Facility		$686.93	$686.93	$686.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $485.49 / $1,123.11	Professional		$44.45	$485.49	$1,123.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.44 / $424.92 / $686.93	Facility		$50.44	$424.92	$686.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $372.25 / $496.31	Professional		$50.44	$372.25	$496.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Facility		$234.00	$234.00	$234.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $234.00 / $966.09	Professional		$198.90	$234.00	$966.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $686.93 / $1,099.08	Professional		$67.18	$686.93	$1,099.08
United Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $319.58 / $565.41	Professional		$202.00	$319.58	$565.41