Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $436.52	Professional		$263.03	$309.03	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $436.52 / $758.58	Professional		$33.88	$436.52	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $398.11 / $630.96	Facility		$53.70	$398.11	$630.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $398.11 / $537.03	Professional		$53.70	$398.11	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $724.44	Professional		$302.00	$354.81	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $831.76	Professional		$426.58	$512.86	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $181.97 / $354.81	Facility		$23.99	$181.97	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $512.86	Professional		$181.97	$288.40	$512.86