Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.57 / $210.57 / $304.32	Facility		$210.57	$210.57	$304.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.57 / $214.87 / $245.48	Professional		$210.57	$214.87	$245.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $412.64 / $946.49	Facility		$257.89	$412.64	$946.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $214.44 / $405.67	Professional		$107.32	$214.44	$405.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.06 / $399.75 / $505.48	Facility		$361.06	$399.75	$505.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $132.97	Professional		$119.00	$119.00	$132.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $238.35 / $283.69	Professional		$98.34	$238.35	$283.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $260.58 / $390.49	Professional		$128.66	$260.58	$390.49