Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.94 / $329.94 / $561.00	Professional		$286.94	$329.94	$561.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $391.67 / $1,195.25	Professional		$54.78	$391.67	$1,195.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.99 / $60.78 / $153.71	Facility		$56.99	$60.78	$153.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.06 / $58.06 / $60.78	Professional		$58.06	$58.06	$60.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $450.88 / $493.02	Facility		$450.88	$450.88	$493.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $450.88 / $798.75	Professional		$53.68	$450.88	$798.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.36 / $834.43 / $1,936.00	Professional		$396.36	$834.43	$1,936.00
United Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $211.91 / $533.36	Facility		$28.26	$211.91	$533.36
United Facility/Professional Professional Modifier Low / Median / High Price $211.90 / $339.24 / $616.14	Professional		$211.90	$339.24	$616.14