Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.26 / $331.26 / $478.75	Facility		$331.26	$331.26	$478.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.26 / $338.02 / $386.17	Professional		$331.26	$338.02	$386.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.72 / $649.15 / $1,488.99	Facility		$405.72	$649.15	$1,488.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.17 / $337.35 / $638.99	Professional		$169.17	$337.35	$638.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $568.01 / $628.87 / $795.21	Facility		$568.01	$628.87	$795.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.10 / $170.00 / $170.00	Professional		$149.10	$170.00	$170.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $375.64 / $446.29	Professional		$98.34	$375.64	$446.29
United Facility/Professional Professional Modifier Low / Median / High Price $206.46 / $409.97 / $652.63	Professional		$206.46	$409.97	$652.63