Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,288.25 / $2,398.83	Facility		$446.68	$1,288.25	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $371.54 / $630.96	Professional		$93.33	$371.54	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $724.44 / $1,479.11	Facility		$295.12	$724.44	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $467.74	Professional		$95.50	$95.50	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $26.30 / $102.33	Facility		$22.91	$26.30	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.92 / $93.33	Professional		$18.62	$26.92	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $269.15 / $933.25	Facility		$173.78	$269.15	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $169.82 / $524.81	Professional		$83.18	$169.82	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $269.15	Professional		$102.33	$123.03	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $218.78 / $389.05	Facility		$177.83	$218.78	$389.05