Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $562.34	Facility		$218.78	$218.78	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $416.87	Professional		$208.93	$251.19	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,122.02 / $1,737.80	Facility		$467.74	$1,122.02	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $630.96	Professional		$245.47	$380.19	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $851.14	Facility		$354.81	$354.81	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $562.34	Professional		$257.04	$257.04	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $851.14	Professional		$331.13	$467.74	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $229.09 / $309.03	Facility		$144.54	$229.09	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $436.52	Professional		$151.36	$229.09	$436.52