Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $524.81	Facility		$204.17	$204.17	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $389.05	Professional		$181.97	$218.78	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,047.13 / $1,621.81	Facility		$436.52	$1,047.13	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $549.54	Professional		$229.09	$363.08	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $676.08	Facility		$251.19	$251.19	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $501.19	Professional		$181.97	$181.97	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $602.56	Professional		$288.40	$436.52	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $186.21 / $257.04	Facility		$120.23	$186.21	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $371.54	Professional		$144.54	$208.93	$371.54