Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $371.54	Professional		$218.78	$263.03	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $416.87 / $630.96	Professional		$41.69	$416.87	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $371.54 / $524.81	Facility		$43.65	$371.54	$524.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $331.13 / $489.78	Professional		$43.65	$331.13	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $457.09	Facility		$346.74	$346.74	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $645.65	Professional		$295.12	$346.74	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $851.14	Professional		$416.87	$524.81	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $169.82 / $371.54	Facility		$22.39	$169.82	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $478.63	Professional		$165.96	$269.15	$478.63