Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.76 / $1,063.08 / $1,658.10	Professional		$894.76	$1,063.08	$1,658.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.81 / $1,497.02 / $3,416.71	Professional		$165.81	$1,497.02	$3,416.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.77 / $180.78 / $1,528.13	Facility		$180.77	$180.78	$1,528.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.77 / $180.77 / $180.78	Professional		$180.77	$180.77	$180.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,516.14 / $1,516.14 / $1,516.14	Facility		$1,516.14	$1,516.14	$1,516.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $1,743.98 / $3,079.69	Professional		$169.88	$1,743.98	$3,079.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.54 / $2,281.39 / $3,650.22	Professional		$233.54	$2,281.39	$3,650.22
United Facility/Professional Professional Modifier Low / Median / High Price $705.20 / $1,138.23 / $2,031.05	Professional		$705.20	$1,138.23	$2,031.05