Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.75 / $192.18 / $295.07	Professional		$161.75	$192.18	$295.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.65 / $384.65 / $384.65	Facility		$384.65	$384.65	$384.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $298.97 / $702.09	Professional		$29.98	$298.97	$702.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.70 / $256.58 / $620.04	Facility		$32.70	$256.58	$620.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $245.22 / $342.08	Professional		$32.70	$245.22	$342.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $330.59	Facility		$267.62	$267.62	$330.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $267.62 / $445.88	Professional		$227.48	$267.62	$445.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $384.65 / $1,645.00	Professional		$292.33	$384.65	$1,645.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.49 / $193.68 / $373.45	Professional		$127.49	$193.68	$373.45