Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.50 / $175.50 / $416.88	Facility		$175.50	$175.50	$416.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.51 / $221.68 / $278.30	Professional		$171.51	$221.68	$278.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.55 / $517.37 / $1,356.25	Facility		$369.55	$517.37	$1,356.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.02 / $307.27 / $589.98	Professional		$197.02	$307.27	$589.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.12 / $369.55 / $724.32	Facility		$314.12	$369.55	$724.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.12 / $314.12 / $314.12	Professional		$314.12	$314.12	$314.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $230.92	Facility		$230.92	$230.92	$230.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $230.92 / $428.25	Professional		$168.57	$230.92	$428.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.86 / $369.55 / $671.81	Professional		$280.86	$369.55	$671.81
United Facility/Professional Professional Modifier Low / Median / High Price $122.91 / $184.37 / $307.27	Professional		$122.91	$184.37	$307.27