Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $272.08 / $393.22	Facility		$272.08	$272.08	$393.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $277.63 / $317.18	Professional		$272.08	$277.63	$317.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.24 / $533.17 / $1,222.99	Facility		$333.24	$533.17	$1,222.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $277.08 / $525.26	Professional		$138.91	$277.08	$525.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $466.54 / $516.52 / $653.15	Facility		$466.54	$516.52	$653.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.83 / $153.00 / $153.00	Professional		$143.83	$153.00	$153.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $308.64 / $366.56	Professional		$98.34	$308.64	$366.56
United Facility/Professional Professional Modifier Low / Median / High Price $166.25 / $332.50 / $491.93	Professional		$166.25	$332.50	$491.93