Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.71 / $561.72 / $917.50	Professional		$485.71	$561.72	$917.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $994.07 / $994.07 / $994.07	Facility		$994.07	$994.07	$994.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $854.72 / $1,711.80	Professional		$89.93	$854.72	$1,711.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $111.18 / $859.49	Facility		$95.31	$111.18	$859.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $95.31 / $111.18	Professional		$95.31	$95.31	$111.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $809.37	Facility		$251.69	$251.69	$809.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $251.69 / $1,350.00	Professional		$88.13	$251.69	$1,350.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.66 / $963.02 / $1,917.00	Professional		$490.66	$963.02	$1,917.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.18 / $589.84 / $884.76	Professional		$299.18	$589.84	$884.76