Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $436.52	Facility		$169.82	$169.82	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $323.59	Professional		$162.18	$194.98	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $851.14 / $1,318.26	Facility		$363.08	$851.14	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $478.63	Professional		$190.55	$295.12	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $630.96	Facility		$245.47	$245.47	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $436.52	Professional		$177.83	$177.83	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $537.03	Professional		$251.19	$363.08	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $173.78 / $239.88	Facility		$112.20	$173.78	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $346.74	Professional		$117.49	$177.83	$346.74