Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.59 / $430.80 / $652.90	Professional		$362.59	$430.80	$652.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $747.30 / $747.30 / $747.30	Facility		$747.30	$747.30	$747.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $578.24 / $1,171.50	Professional		$65.64	$578.24	$1,171.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $87.65 / $756.66	Facility		$69.44	$87.65	$756.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $69.56 / $87.65	Professional		$69.56	$69.56	$87.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $590.76	Facility		$407.96	$407.96	$590.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $407.96 / $933.75	Professional		$64.33	$407.96	$933.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.77 / $813.73 / $1,824.00	Professional		$456.77	$813.73	$1,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.64 / $539.63 / $763.72	Professional		$327.64	$539.63	$763.72