Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.39 / $614.05 / $614.05	Facility		$274.39	$614.05	$614.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.98 / $185.96 / $197.54	Professional		$108.98	$185.96	$197.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.12 / $211.14 / $752.27	Facility		$96.12	$211.14	$752.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $45.77 / $222.22	Professional		$34.32	$45.77	$222.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.27 / $246.92 / $395.07	Facility		$133.27	$246.92	$395.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.82 / $543.22 / $543.22	Facility		$251.82	$543.22	$543.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $283.73 / $354.66	Professional		$130.87	$283.73	$354.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.61 / $283.95 / $321.00	Professional		$271.61	$283.95	$321.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $123.38 / $246.92	Professional		$90.48	$123.38	$246.92