Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $243.61 / $357.43	Facility		$243.15	$243.61	$357.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $267.97	Professional		$243.61	$243.61	$267.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $389.78 / $894.05	Facility		$243.61	$389.78	$894.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.35 / $243.61 / $243.61	Professional		$212.35	$243.61	$243.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.07 / $243.61 / $479.17	Facility		$207.07	$243.61	$479.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.07 / $207.07 / $207.07	Professional		$207.07	$207.07	$207.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.82 / $229.82 / $243.61	Facility		$229.82	$229.82	$243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Professional		$243.61	$243.61	$243.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $235.95 / $383.00	Professional		$188.76	$235.95	$383.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $243.61 / $251.53	Professional		$97.44	$243.61	$251.53