Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.35 / $192.35 / $367.39	Facility		$192.35	$192.35	$367.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.27 / $184.64 / $200.84	Professional		$180.27	$184.64	$200.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $198.37 / $198.37	Professional		$54.44	$198.37	$198.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.62 / $394.22 / $463.77	Facility		$319.62	$394.22	$463.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.99 / $237.99 / $237.99	Professional		$237.99	$237.99	$237.99
United Facility/Professional Professional Modifier Low / Median / High Price $176.74 / $231.95 / $416.48	Professional		$176.74	$231.95	$416.48