Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $549.54	Facility		$213.80	$213.80	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $398.11	Professional		$173.78	$213.80	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,096.48 / $1,698.24	Facility		$457.09	$1,096.48	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $575.44	Professional		$204.17	$371.54	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $616.60	Facility		$218.78	$218.78	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $389.05	Professional		$158.49	$158.49	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $457.09 / $630.96	Professional		$251.19	$457.09	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $229.09	Facility		$104.71	$165.96	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $389.05	Professional		$141.25	$213.80	$389.05