Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $446.68	Facility		$151.36	$151.36	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $338.84	Professional		$151.36	$204.17	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $891.25 / $1,380.38	Facility		$371.54	$891.25	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $501.19	Professional		$194.98	$302.00	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $676.08	Facility		$275.42	$275.42	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $467.74	Professional		$199.53	$199.53	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $512.86	Professional		$263.03	$371.54	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $257.04 / $288.40	Facility		$141.25	$257.04	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $354.81	Professional		$120.23	$181.97	$354.81