Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.98 / $211.46 / $334.04	Professional		$177.98	$211.46	$334.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.95 / $401.95 / $401.95	Facility		$401.95	$401.95	$401.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $323.57 / $643.90	Professional		$32.24	$323.57	$643.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.18 / $322.35 / $647.95	Facility		$36.18	$322.35	$647.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $256.25 / $429.84	Professional		$34.17	$256.25	$429.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $265.97 / $332.38	Facility		$265.97	$265.97	$332.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $265.97 / $565.78	Professional		$226.07	$265.97	$565.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.48 / $401.95 / $844.00	Professional		$305.48	$401.95	$844.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $243.61 / $403.64	Professional		$140.30	$243.61	$403.64