Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $489.78	Facility		$190.55	$190.55	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $354.81	Professional		$190.55	$218.78	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $977.24 / $1,513.56	Facility		$407.38	$977.24	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $549.54	Professional		$213.80	$331.13	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $724.44	Facility		$251.19	$251.19	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $467.74	Professional		$181.97	$181.97	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $602.56	Professional		$288.40	$407.38	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $323.59	Facility		$125.89	$199.53	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $389.05	Professional		$134.90	$199.53	$389.05