Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.94 / $300.52 / $474.72	Professional		$252.94	$300.52	$474.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.44 / $566.44 / $566.44	Facility		$566.44	$566.44	$566.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $456.94 / $907.40	Professional		$45.43	$456.94	$907.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $467.21 / $913.08	Facility		$50.00	$467.21	$913.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $361.11 / $622.96	Professional		$48.14	$361.11	$622.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $376.09 / $481.66	Facility		$376.09	$376.09	$481.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.68 / $376.09 / $661.50	Professional		$319.68	$376.09	$661.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.49 / $566.44 / $1,380.00	Professional		$430.49	$566.44	$1,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $350.36 / $577.74	Professional		$199.40	$350.36	$577.74