Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.92 / $800.70 / $1,243.59	Professional		$673.92	$800.70	$1,243.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $1,134.31 / $2,589.33	Professional		$124.36	$1,134.31	$2,589.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.76 / $137.87 / $1,165.33	Facility		$129.76	$137.87	$1,165.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.87	Professional		$137.80	$137.80	$137.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $902.06 / $1,137.15	Facility		$902.06	$902.06	$1,137.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $902.06 / $1,878.75	Professional		$127.42	$902.06	$1,878.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.34 / $1,728.93 / $3,615.00	Professional		$182.34	$1,728.93	$3,615.00
United Facility/Professional Facility Modifier Low / Median / High Price $60.11 / $515.16 / $1,215.90	Facility		$60.11	$515.16	$1,215.90
United Facility/Professional Professional Modifier Low / Median / High Price $531.16 / $816.18 / $1,548.85	Professional		$531.16	$816.18	$1,548.85