Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $250.29 / $398.94	Professional		$210.66	$250.29	$398.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.68 / $500.68 / $500.68	Facility		$500.68	$500.68	$500.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $368.60 / $818.61	Professional		$34.15	$368.60	$818.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $319.23 / $503.09	Facility		$42.58	$319.23	$503.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $319.23 / $425.58	Professional		$42.58	$319.23	$425.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $307.55 / $725.63	Professional		$261.42	$307.55	$725.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $500.68 / $801.09	Professional		$42.66	$500.68	$801.09
United Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $232.93 / $358.36	Professional		$159.91	$232.93	$358.36