Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.07 / $725.28 / $1,106.03	Professional		$623.07	$725.28	$1,106.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $865.09 / $2,425.30	Professional		$129.00	$865.09	$2,425.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.58 / $181.42 / $2,046.09	Facility		$90.58	$181.42	$2,046.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.96 / $99.96 / $99.96	Professional		$99.96	$99.96	$99.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $1,099.28	Facility		$816.59	$816.59	$1,099.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $816.59 / $1,151.25	Professional		$92.43	$816.59	$1,151.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $1,000.96 / $2,710.00	Professional		$226.07	$1,000.96	$2,710.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.69 / $631.77 / $1,137.93	Professional		$336.69	$631.77	$1,137.93