Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.63 / $759.96 / $1,160.40	Professional		$639.63	$759.96	$1,160.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $1,047.63 / $2,089.89	Professional		$117.89	$1,047.63	$2,089.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.57 / $137.41 / $347.48	Facility		$128.57	$137.41	$347.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.57 / $128.57 / $137.41	Professional		$128.57	$128.57	$137.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.26 / $642.26 / $1,061.01	Facility		$642.26	$642.26	$1,061.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $642.26 / $1,755.00	Professional		$118.88	$642.26	$1,755.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.09 / $1,937.04 / $5,044.00	Professional		$920.09	$1,937.04	$5,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.16 / $865.06 / $1,468.60	Professional		$504.16	$865.06	$1,468.60