Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.67 / $262.19 / $438.82	Professional		$220.67	$262.19	$438.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.75 / $514.75 / $514.75	Facility		$514.75	$514.75	$514.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $424.60 / $939.53	Professional		$41.28	$424.60	$939.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $368.85 / $829.76	Facility		$46.55	$368.85	$829.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $328.15 / $491.83	Professional		$43.75	$328.15	$491.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.16 / $347.16 / $455.65	Facility		$347.16	$347.16	$455.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $347.16 / $641.25	Professional		$295.08	$347.16	$641.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.21 / $514.75 / $1,131.00	Professional		$391.21	$514.75	$1,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.15 / $266.89 / $476.25	Professional		$170.15	$266.89	$476.25