Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.04 / $240.04 / $367.41	Professional		$202.04	$240.04	$367.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.68 / $478.68 / $478.68	Facility		$478.68	$478.68	$478.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $373.92 / $873.71	Professional		$37.31	$373.92	$873.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $323.80 / $771.62	Facility		$40.69	$323.80	$771.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $305.16 / $431.72	Professional		$40.69	$305.16	$431.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $335.76	Facility		$333.25	$333.25	$335.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $555.00	Professional		$283.26	$333.25	$555.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.80 / $478.68 / $1,054.00	Professional		$363.80	$478.68	$1,054.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.23 / $242.82 / $442.43	Professional		$169.23	$242.82	$442.43