Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.64 / $384.54 / $658.10	Professional		$323.64	$384.54	$658.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $748.46 / $748.46 / $748.46	Facility		$748.46	$748.46	$748.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $600.26 / $1,366.12	Professional		$60.03	$600.26	$1,366.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.83 / $545.53 / $1,206.50	Facility		$65.83	$545.53	$1,206.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.62 / $477.15 / $737.67	Professional		$63.62	$477.15	$737.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.13 / $278.13 / $278.13	Facility		$278.13	$278.13	$278.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $278.13 / $895.88	Professional		$203.03	$278.13	$895.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $568.83 / $748.46 / $1,987.00	Professional		$568.83	$748.46	$1,987.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.12 / $407.54 / $729.57	Professional		$255.12	$407.54	$729.57