Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.95 / $555.95 / $627.51	Facility		$555.95	$555.95	$627.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.95 / $736.50 / $1,005.44	Professional		$555.95	$736.50	$1,005.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $757.40 / $1,969.95	Professional		$105.35	$757.40	$1,969.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $136.60 / $242.65	Facility		$82.20	$136.60	$242.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $82.93 / $112.21	Professional		$82.93	$82.93	$112.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.80 / $1,017.80 / $1,017.80	Facility		$1,017.80	$1,017.80	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $750.60 / $750.60	Professional		$79.45	$750.60	$750.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.01 / $981.90 / $1,571.04	Professional		$434.01	$981.90	$1,571.04
United Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $105.64 / $1,013.70	Professional		$41.84	$105.64	$1,013.70