Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.16 / $399.40 / $668.57	Professional		$336.16	$399.40	$668.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $769.99 / $769.99 / $769.99	Facility		$769.99	$769.99	$769.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $617.53 / $1,405.43	Professional		$61.75	$617.53	$1,405.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $553.91 / $1,241.22	Facility		$66.69	$553.91	$1,241.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $490.88 / $784.72	Professional		$65.45	$490.88	$784.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.96 / $647.96 / $647.96	Facility		$647.96	$647.96	$647.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.01 / $647.96 / $889.50	Professional		$473.01	$647.96	$889.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.19 / $769.99 / $1,950.00	Professional		$585.19	$769.99	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.47 / $425.83 / $747.57	Professional		$271.47	$425.83	$747.57