Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.68 / $198.68 / $198.68	Facility		$198.68	$198.68	$198.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $196.16 / $230.78	Professional		$151.16	$196.16	$230.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $318.75 / $514.12	Professional		$261.95	$318.75	$514.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.39 / $351.74 / $426.58	Facility		$281.39	$351.74	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.85 / $314.51 / $530.77	Professional		$244.85	$314.51	$530.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.34 / $189.34 / $306.08	Facility		$189.34	$189.34	$306.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $367.84	Professional		$160.94	$160.94	$367.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.29 / $295.29 / $686.00	Professional		$295.29	$295.29	$686.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $144.59 / $375.30	Professional		$96.39	$144.59	$375.30