Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.71 / $901.44 / $1,377.20	Professional		$758.71	$901.44	$1,377.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $1,304.21 / $2,704.32	Professional		$137.72	$1,304.21	$2,704.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.61 / $249.40 / $1,374.96	Facility		$152.61	$249.40	$1,374.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.61 / $248.57 / $264.99	Professional		$152.61	$248.57	$264.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $1,259.36	Facility		$504.00	$504.00	$1,259.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.11 / $504.00 / $2,081.25	Professional		$141.11	$504.00	$2,081.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.88 / $1,509.65 / $3,334.00	Professional		$206.88	$1,509.65	$3,334.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.00 / $1,406.28 / $2,131.14	Professional		$598.00	$1,406.28	$2,131.14