Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $363.08 / $630.96	Facility		$123.03	$363.08	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $269.15	Professional		$123.03	$158.49	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $707.95 / $1,096.48	Facility		$302.00	$707.95	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $371.54	Professional		$158.49	$245.47	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $478.63	Facility		$165.96	$165.96	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $363.08	Professional		$120.23	$120.23	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $407.38	Professional		$199.53	$302.00	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $186.21 / $208.93	Facility		$102.33	$186.21	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $263.03	Professional		$97.72	$147.91	$263.03