Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $316.61 / $352.38	Professional		$190.76	$316.61	$352.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.04 / $393.04 / $393.04	Facility		$393.04	$393.04	$393.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.33 / $361.37 / $652.51	Professional		$256.33	$361.37	$652.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $393.04 / $569.91 / $628.86	Facility		$393.04	$569.91	$628.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Professional		$175.28	$175.28	$175.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.43 / $393.04 / $683.18	Professional		$314.43	$393.04	$683.18
United Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $182.18 / $265.83	Professional		$130.72	$182.18	$265.83