Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.06 / $261.14 / $604.24	Facility		$208.06	$261.14	$604.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $287.26 / $418.54	Professional		$261.14	$287.26	$418.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $304.37 / $958.42	Facility		$261.14	$304.37	$958.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.78 / $233.78 / $233.78	Professional		$233.78	$233.78	$233.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $261.14 / $511.85	Facility		$261.14	$261.14	$511.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Facility		$269.49	$269.49	$269.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Professional		$269.49	$269.49	$269.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.56 / $261.17 / $278.92	Professional		$253.56	$261.17	$278.92
United Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $288.60 / $383.25	Professional		$240.62	$288.60	$383.25