Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $287.05 / $453.44	Professional		$241.60	$287.05	$453.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $543.69 / $543.69 / $543.69	Facility		$543.69	$543.69	$543.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $430.75 / $870.97	Professional		$43.61	$430.75	$870.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.14 / $441.26 / $876.42	Facility		$47.14	$441.26	$876.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $346.60 / $588.33	Professional		$46.21	$346.60	$588.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.55 / $354.55 / $465.35	Facility		$354.55	$354.55	$465.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.37 / $354.55 / $617.63	Professional		$301.37	$354.55	$617.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.20 / $543.69 / $1,364.00	Professional		$413.20	$543.69	$1,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.46 / $356.01 / $545.16	Professional		$190.46	$356.01	$545.16