Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.66 / $149.66 / $833.85	Facility		$149.66	$149.66	$833.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $212.52 / $243.66	Professional		$149.66	$212.52	$243.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.27 / $502.98 / $1,318.52	Facility		$359.27	$502.98	$1,318.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.54 / $298.72 / $573.54	Professional		$191.54	$298.72	$573.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $305.38 / $342.86 / $664.65	Facility		$305.38	$342.86	$664.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $305.38 / $305.38 / $305.38	Professional		$305.38	$305.38	$305.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $271.68	Facility		$271.68	$271.68	$271.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $255.33 / $451.17	Professional		$198.33	$255.33	$451.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.05 / $359.27 / $499.55	Professional		$273.05	$359.27	$499.55
United Facility/Professional Professional Modifier Low / Median / High Price $119.49 / $179.23 / $295.70	Professional		$119.49	$179.23	$295.70