Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.05 / $295.89 / $471.64	Professional		$249.05	$295.89	$471.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.92 / $591.92 / $591.92	Facility		$591.92	$591.92	$591.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $418.36 / $967.80	Professional		$38.58	$418.36	$967.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.45 / $377.35 / $591.92	Facility		$48.45	$377.35	$591.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $377.35 / $503.14	Professional		$51.48	$377.35	$503.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $292.50 / $292.50	Facility		$292.50	$292.50	$292.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $292.50 / $661.50	Professional		$248.63	$292.50	$661.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $591.92 / $947.09	Professional		$58.65	$591.92	$947.09
United Facility/Professional Professional Modifier Low / Median / High Price $174.06 / $277.97 / $487.20	Professional		$174.06	$277.97	$487.20