Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.40 / $127.40 / $360.87	Facility		$127.40	$127.40	$360.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $180.90 / $245.19	Professional		$127.40	$180.90	$245.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.82 / $428.15 / $1,122.35	Facility		$305.82	$428.15	$1,122.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.05 / $254.28 / $488.22	Professional		$163.05	$254.28	$488.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $259.95 / $305.82 / $599.41	Facility		$259.95	$305.82	$599.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $259.95 / $259.95 / $259.95	Professional		$259.95	$259.95	$259.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.02 / $197.02	Facility		$197.02	$197.02	$197.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $196.67 / $360.38	Professional		$143.82	$196.67	$360.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.42 / $305.82 / $424.83	Professional		$232.42	$305.82	$424.83
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $152.57 / $252.02	Professional		$101.71	$152.57	$252.02