Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.39 / $238.39 / $675.27	Facility		$238.39	$238.39	$675.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.39 / $338.51 / $426.52	Professional		$238.39	$338.51	$426.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.26 / $801.16 / $2,100.19	Facility		$572.26	$801.16	$2,100.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.08 / $475.82 / $913.57	Professional		$305.08	$475.82	$913.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $486.42 / $648.55 / $1,058.68	Facility		$486.42	$648.55	$1,058.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $486.42 / $486.42 / $486.42	Professional		$486.42	$486.42	$486.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $493.58	Facility		$493.58	$493.58	$493.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $458.97 / $764.79	Professional		$360.31	$458.97	$764.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.92 / $572.26 / $795.52	Professional		$434.92	$572.26	$795.52
United Facility/Professional Professional Modifier Low / Median / High Price $190.33 / $285.49 / $471.02	Professional		$190.33	$285.49	$471.02