Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $575.44	Facility		$223.87	$223.87	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $426.58	Professional		$177.83	$229.09	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,148.15 / $1,778.28	Facility		$478.63	$1,148.15	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $588.84	Professional		$223.87	$389.05	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $691.83	Facility		$288.40	$288.40	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $549.54	Professional		$213.80	$213.80	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $645.65	Professional		$275.42	$478.63	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $186.21 / $338.84	Facility		$117.49	$186.21	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $407.38	Professional		$154.88	$223.87	$407.38