Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.89 / $228.45 / $239.86	Facility		$190.89	$228.45	$239.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.45 / $239.86 / $282.19	Professional		$228.45	$239.86	$282.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.97 / $274.08 / $293.95	Facility		$232.97	$274.08	$293.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.76 / $228.45 / $228.45	Professional		$182.76	$228.45	$228.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $261.45 / $269.14 / $527.52	Facility		$261.45	$269.14	$527.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Facility		$263.38	$263.38	$263.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Professional		$263.38	$263.38	$263.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $95.97 / $103.54	Professional		$82.67	$95.97	$103.54
United Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $282.19 / $293.95	Professional		$235.16	$282.19	$293.95