Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.47 / $382.92 / $468.17	Professional		$228.47	$382.92	$468.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $473.29 / $473.29 / $473.29	Facility		$473.29	$473.29	$473.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.83 / $435.15 / $785.74	Professional		$311.83	$435.15	$785.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $473.29 / $686.27 / $757.26	Facility		$473.29	$686.27	$757.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $213.23 / $213.23	Professional		$213.23	$213.23	$213.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $378.63 / $473.29 / $831.46	Professional		$378.63	$473.29	$831.46
United Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $221.62 / $320.10	Professional		$157.41	$221.62	$320.10