Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.13 / $477.78 / $738.40	Professional		$402.13	$477.78	$738.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $666.66 / $1,517.40	Professional		$73.84	$666.66	$1,517.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $126.26 / $705.70	Facility		$81.81	$126.26	$705.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $126.26 / $128.80	Professional		$81.81	$126.26	$128.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $458.33 / $675.18	Facility		$458.33	$458.33	$675.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.66 / $458.33 / $1,117.50	Professional		$75.66	$458.33	$1,117.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.83 / $1,251.08 / $6,119.00	Professional		$667.83	$1,251.08	$6,119.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.58 / $724.44 / $1,447.10	Professional		$346.58	$724.44	$1,447.10