Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.71 / $174.71 / $466.67	Facility		$174.71	$174.71	$466.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.71 / $223.31 / $252.21	Professional		$174.71	$223.31	$252.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.04 / $286.35 / $432.22	Facility		$197.04	$286.35	$432.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $205.82 / $401.96	Professional		$205.82	$205.82	$401.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.72 / $380.94 / $564.66	Facility		$262.72	$380.94	$564.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $577.98 / $825.06	Facility		$392.50	$577.98	$825.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.45 / $288.99 / $367.81	Professional		$236.45	$288.99	$367.81
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $157.63 / $459.89	Professional		$110.34	$157.63	$459.89