Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $478.63	Facility		$186.21	$186.21	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $363.08	Professional		$177.83	$234.42	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $954.99 / $1,479.11	Facility		$398.11	$954.99	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $537.03	Professional		$208.93	$331.13	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $724.44	Facility		$245.47	$245.47	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $524.81	Professional		$177.83	$177.83	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $588.84	Professional		$281.84	$398.11	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $190.55 / $263.03	Facility		$123.03	$190.55	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $389.05	Professional		$131.83	$194.98	$389.05