Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.20 / $454.83 / $782.74	Facility		$164.20	$454.83	$782.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $195.07 / $234.57	Professional		$148.15	$195.07	$234.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.03 / $246.92 / $752.27	Facility		$67.03	$246.92	$752.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $31.92 / $246.92	Professional		$23.94	$31.92	$246.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.88 / $246.92 / $395.07	Facility		$169.88	$246.92	$395.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.00 / $543.22 / $685.57	Facility		$321.00	$543.22	$685.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $301.08 / $376.35	Professional		$283.73	$301.08	$376.35
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 Facility Modifier Low / Median / High Price $222.23 / $222.23 / $246.92	Facility		$222.23	$222.23	$246.92
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $148.15 / $246.92	Professional		$103.71	$148.15	$246.92