Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.06 / $472.94 / $747.09	Professional		$398.06	$472.94	$747.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.12 / $897.12 / $897.12	Facility		$897.12	$897.12	$897.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $699.76 / $1,549.96	Professional		$71.95	$699.76	$1,549.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $724.51 / $1,446.12	Facility		$77.70	$724.51	$1,446.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $571.91 / $966.02	Professional		$76.25	$571.91	$966.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $763.12	Facility		$581.42	$581.42	$763.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.22 / $581.42 / $1,038.38	Professional		$494.22	$581.42	$1,038.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $897.12 / $1,435.39	Professional		$109.84	$897.12	$1,435.39
United Facility/Professional Professional Modifier Low / Median / High Price $313.79 / $471.87 / $870.99	Professional		$313.79	$471.87	$870.99