Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.25 / $279.50 / $461.54	Professional		$235.25	$279.50	$461.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.80 / $535.80 / $535.80	Facility		$535.80	$535.80	$535.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $429.71 / $858.33	Professional		$42.97	$429.71	$858.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $417.61 / $863.71	Facility		$49.12	$417.61	$863.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $341.58 / $556.78	Professional		$45.54	$341.58	$556.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $358.71 / $432.14	Facility		$358.71	$358.71	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $358.71 / $612.38	Professional		$304.89	$358.71	$612.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.22 / $535.80 / $1,861.00	Professional		$407.22	$535.80	$1,861.00
United Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $219.76 / $391.30	Facility		$29.13	$219.76	$391.30
United Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $315.55 / $533.74	Professional		$185.44	$315.55	$533.74