Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $338.84	Facility		$128.82	$128.82	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $245.47	Professional		$123.03	$151.36	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $660.69 / $1,023.29	Facility		$281.84	$660.69	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $354.81	Professional		$151.36	$229.09	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $467.74	Facility		$190.55	$190.55	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $338.84	Professional		$138.04	$138.04	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $389.05	Professional		$194.98	$281.84	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $128.82 / $173.78	Facility		$81.28	$128.82	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $269.15	Professional		$91.20	$138.04	$269.15