Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.85 / $243.49 / $360.09	Professional		$191.85	$243.49	$360.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.97 / $446.97 / $446.97	Facility		$446.97	$446.97	$446.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $338.49 / $747.06	Professional		$30.77	$338.49	$747.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $321.74 / $720.50	Facility		$38.85	$321.74	$720.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $284.95 / $428.97	Professional		$38.00	$284.95	$428.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $330.36	Facility		$229.50	$229.50	$330.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.08 / $229.50 / $562.50	Professional		$195.08	$229.50	$562.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $446.97 / $715.15	Professional		$56.52	$446.97	$715.15
United Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $241.27 / $433.95	Professional		$151.22	$241.27	$433.95