Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.61 / $122.61 / $635.30	Facility		$122.61	$122.61	$635.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.61 / $163.97 / $230.91	Professional		$122.61	$163.97	$230.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.32 / $412.05 / $1,080.15	Facility		$294.32	$412.05	$1,080.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $244.72 / $469.86	Professional		$156.91	$244.72	$469.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.53 / $276.27 / $544.49	Facility		$226.53	$276.27	$544.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.17 / $250.17 / $250.17	Professional		$250.17	$250.17	$250.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $166.52	Facility		$166.52	$166.52	$166.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $166.52 / $356.19	Professional		$121.56	$166.52	$356.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.68 / $294.32 / $408.80	Professional		$223.68	$294.32	$408.80
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $146.83 / $242.26	Professional		$97.89	$146.83	$242.26