Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $537.03	Professional		$323.59	$380.19	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $562.34 / $1,000.00	Professional		$60.26	$562.34	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $478.63 / $741.31	Facility		$63.10	$478.63	$741.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $478.63 / $741.31	Professional		$63.10	$478.63	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $891.25	Professional		$204.17	$275.42	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,230.27	Professional		$616.60	$776.25	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $257.04 / $501.19	Facility		$33.11	$257.04	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $724.44	Professional		$257.04	$398.11	$724.44