Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.77 / $449.87 / $794.97	Facility		$166.77	$449.87	$794.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $218.18 / $558.40	Professional		$166.77	$218.18	$558.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.32 / $303.33 / $867.70	Facility		$163.32	$303.33	$867.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $121.34 / $376.15	Professional		$91.00	$121.34	$376.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.89 / $250.78 / $401.25	Facility		$204.89	$250.78	$401.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $551.72 / $767.19	Facility		$132.91	$551.72	$767.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $337.04 / $382.03	Professional		$288.27	$337.04	$382.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.02 / $288.39 / $377.83	Professional		$274.02	$288.39	$377.83
United Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $150.47 / $250.78	Professional		$105.33	$150.47	$250.78