Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.73 / $168.73 / $168.73	Facility		$168.73	$168.73	$168.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $168.73 / $213.05	Professional		$115.96	$168.73	$213.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.47 / $373.06 / $977.94	Facility		$266.47	$373.06	$977.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.04 / $221.57 / $506.95	Professional		$153.04	$221.57	$506.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.50 / $266.47 / $522.28	Facility		$226.50	$266.47	$522.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.50 / $226.50 / $226.50	Professional		$226.50	$226.50	$226.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $309.00	Professional		$130.22	$130.22	$309.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.47 / $266.47 / $352.75	Professional		$266.47	$266.47	$352.75
United Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $132.94 / $230.57	Professional		$88.63	$132.94	$230.57