Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $146.63 / $348.30	Facility		$146.63	$146.63	$348.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $185.21 / $227.73	Professional		$138.91	$185.21	$227.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.76 / $432.26 / $1,133.15	Facility		$308.76	$432.26	$1,133.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $256.73 / $492.92	Professional		$164.62	$256.73	$492.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.57 / $326.08 / $571.21	Facility		$244.57	$326.08	$571.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.45 / $262.45 / $262.45	Professional		$262.45	$262.45	$262.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Facility		$225.30	$225.30	$225.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $225.30 / $384.41	Professional		$164.47	$225.30	$384.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.66 / $308.76 / $522.52	Professional		$234.66	$308.76	$522.52
United Facility/Professional Professional Modifier Low / Median / High Price $102.69 / $154.04 / $254.14	Professional		$102.69	$154.04	$254.14