Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $375.47 / $598.46	Professional		$316.02	$375.47	$598.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.10 / $751.10 / $751.10	Facility		$751.10	$751.10	$751.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $552.95 / $1,228.03	Professional		$50.33	$552.95	$1,228.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $478.85 / $754.70	Facility		$63.84	$478.85	$754.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $478.85 / $638.44	Professional		$63.84	$478.85	$638.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.38 / $461.38 / $461.38	Facility		$461.38	$461.38	$461.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.17 / $461.38 / $1,088.44	Professional		$392.17	$461.38	$1,088.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $751.10 / $1,201.76	Professional		$62.92	$751.10	$1,201.76
United Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $352.72 / $618.22	Professional		$220.87	$352.72	$618.22