Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.08 / $363.58 / $509.70	Professional		$302.08	$363.58	$509.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.35 / $645.35 / $645.35	Facility		$645.35	$645.35	$645.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $510.56 / $1,065.59	Professional		$51.77	$510.56	$1,065.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $82.20 / $829.14	Facility		$53.56	$82.20	$829.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $54.87 / $82.20	Professional		$54.87	$54.87	$82.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.79 / $459.79 / $604.09	Facility		$459.79	$459.79	$604.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $459.79 / $720.00	Professional		$50.73	$459.79	$720.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.76 / $803.85 / $1,787.00	Professional		$494.76	$803.85	$1,787.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.55 / $505.79 / $758.68	Professional		$256.55	$505.79	$758.68