Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.21 / $162.21 / $385.33	Facility		$162.21	$162.21	$385.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.66 / $185.22 / $253.25	Professional		$153.66	$185.22	$253.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.57 / $478.20 / $1,253.56	Facility		$341.57	$478.20	$1,253.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.65 / $284.01 / $545.29	Professional		$181.65	$284.01	$545.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.49 / $290.33 / $631.90	Facility		$269.49	$290.33	$631.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $290.33 / $290.33 / $290.33	Professional		$290.33	$290.33	$290.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $200.69 / $367.50	Professional		$149.72	$200.69	$367.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.58 / $341.57 / $575.83	Professional		$259.58	$341.57	$575.83
United Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $170.41 / $281.16	Professional		$113.60	$170.41	$281.16