Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.82 / $237.82 / $564.91	Facility		$237.82	$237.82	$564.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.39 / $300.39 / $425.71	Professional		$232.39	$300.39	$425.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.78 / $701.09 / $1,837.86	Facility		$500.78	$701.09	$1,837.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.82 / $416.39 / $799.47	Professional		$274.82	$416.39	$799.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $413.24 / $425.66 / $926.44	Facility		$413.24	$425.66	$926.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $425.66 / $425.66 / $425.66	Professional		$425.66	$425.66	$425.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $278.04	Facility		$278.04	$278.04	$278.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $296.39 / $410.18	Professional		$202.97	$296.39	$410.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.59 / $500.78 / $695.65	Professional		$380.59	$500.78	$695.65
United Facility/Professional Facility Modifier Low / Median / High Price $136.83 / $220.01 / $246.45	Facility		$136.83	$220.01	$246.45
United Facility/Professional Professional Modifier Low / Median / High Price $166.56 / $249.83 / $490.11	Professional		$166.56	$249.83	$490.11