Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.26 / $235.56 / $387.10	Professional		$198.26	$235.56	$387.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.56 / $378.56 / $378.56	Facility		$378.56	$378.56	$378.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $344.09 / $640.37	Professional		$36.47	$344.09	$640.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.67 / $46.07 / $463.75	Facility		$38.67	$46.07	$463.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $38.67 / $46.07	Professional		$38.67	$38.67	$46.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $357.22	Facility		$332.93	$332.93	$357.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $332.93 / $525.00	Professional		$35.75	$332.93	$525.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.11 / $468.10 / $958.00	Professional		$288.11	$468.10	$958.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.10 / $289.98 / $514.66	Professional		$172.10	$289.98	$514.66