Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.90 / $792.90 / $792.90	Facility		$792.90	$792.90	$792.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.90 / $942.06 / $1,415.20	Professional		$792.90	$942.06	$1,415.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $1,567.00 / $3,585.44	Professional		$127.67	$1,567.00	$3,585.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.58 / $188.46 / $2,229.82	Facility		$159.58	$188.46	$2,229.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.17 / $165.17 / $165.17	Professional		$165.17	$165.17	$165.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $109.87	Facility		$109.87	$109.87	$109.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $109.87 / $147.10	Professional		$93.39	$109.87	$147.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.98 / $320.98 / $330.60	Professional		$320.98	$320.98	$330.60
United Facility/Professional Professional Modifier Low / Median / High Price $62.68 / $94.02 / $914.90	Professional		$62.68	$94.02	$914.90