Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.27 / $282.27 / $282.27	Facility		$282.27	$282.27	$282.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $282.27 / $310.95	Professional		$278.88	$282.27	$310.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $283.42 / $572.08	Facility		$155.88	$283.42	$572.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.73 / $323.10 / $368.89	Professional		$226.73	$323.10	$368.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $297.58 / $583.27	Facility		$289.08	$297.58	$583.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Facility		$289.08	$289.08	$289.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.47 / $614.00 / $635.00	Professional		$171.47	$614.00	$635.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $357.00	Professional		$283.42	$283.42	$357.00