Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.01 / $308.87 / $1,132.32	Facility		$145.01	$308.87	$1,132.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $174.45 / $207.16	Professional		$130.84	$174.45	$207.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.79 / $237.67 / $754.49	Facility		$144.79	$237.67	$754.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $87.22 / $290.02	Professional		$65.41	$87.22	$290.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $218.06 / $348.90	Facility		$141.74	$218.06	$348.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.74 / $141.74 / $218.06	Professional		$141.74	$141.74	$218.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.57 / $383.93 / $479.73	Facility		$115.57	$383.93	$479.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.69 / $265.56 / $331.95	Professional		$250.69	$265.56	$331.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.77 / $328.53 / $1,083.00	Professional		$250.77	$328.53	$1,083.00
United Facility/Professional Facility Modifier Low / Median / High Price $119.93 / $119.93 / $272.58	Facility		$119.93	$119.93	$272.58
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $130.84 / $312.72	Professional		$91.59	$130.84	$312.72