Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.81 / $167.30 / $264.27	Professional		$140.81	$167.30	$264.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.52 / $311.52 / $311.52	Facility		$311.52	$311.52	$311.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $249.85 / $499.06	Professional		$24.98	$249.85	$499.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $264.80 / $502.20	Facility		$26.58	$264.80	$502.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $198.60 / $356.29	Professional		$26.48	$198.60	$356.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $273.70	Facility		$204.05	$204.05	$273.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $204.05 / $437.34	Professional		$173.44	$204.05	$437.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.76 / $311.52 / $949.00	Professional		$236.76	$311.52	$949.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $133.15 / $228.86	Facility		$15.53	$133.15	$228.86
United Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $219.99 / $321.97	Professional		$133.15	$219.99	$321.97