Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.39 / $218.39 / $518.77	Facility		$218.39	$218.39	$518.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.39 / $275.86 / $413.79	Professional		$218.39	$275.86	$413.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.87 / $643.82 / $1,687.72	Facility		$459.87	$643.82	$1,687.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.18 / $382.37 / $734.15	Professional		$245.18	$382.37	$734.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.89 / $425.24 / $850.76	Facility		$390.89	$425.24	$850.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $390.89 / $390.89 / $390.89	Professional		$390.89	$390.89	$390.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $352.55	Facility		$352.55	$352.55	$352.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $316.67 / $580.13	Professional		$257.36	$316.67	$580.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.50 / $459.87 / $836.03	Professional		$349.50	$459.87	$836.03
United Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $229.42 / $378.51	Professional		$152.94	$229.42	$378.51