Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.23 / $837.90 / $1,301.20	Professional		$705.23	$837.90	$1,301.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $1,187.02 / $2,746.27	Professional		$130.12	$1,187.02	$2,746.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.18 / $280.25 / $1,220.31	Facility		$144.18	$280.25	$1,220.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $280.25 / $280.60	Professional		$144.18	$280.25	$280.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $799.37 / $1,189.80	Facility		$799.37	$799.37	$1,189.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $799.37 / $1,965.00	Professional		$133.31	$799.37	$1,965.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.88 / $1,808.78 / $2,894.05	Professional		$190.88	$1,808.78	$2,894.05
United Facility/Professional Professional Modifier Low / Median / High Price $833.76 / $1,488.43 / $2,402.73	Professional		$833.76	$1,488.43	$2,402.73