Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.65 / $464.14 / $787.20	Professional		$390.65	$464.14	$787.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $904.85 / $904.85 / $904.85	Facility		$904.85	$904.85	$904.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $725.68 / $1,651.56	Professional		$72.56	$725.68	$1,651.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.36 / $588.53 / $1,458.60	Facility		$75.36	$588.53	$1,458.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $576.84 / $784.72	Professional		$76.92	$576.84	$784.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $369.39	Facility		$369.39	$369.39	$369.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $369.39 / $1,046.63	Professional		$269.64	$369.39	$1,046.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $687.69 / $904.85 / $1,820.00	Professional		$687.69	$904.85	$1,820.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.76 / $481.19 / $875.57	Professional		$306.76	$481.19	$875.57