Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $489.78	Facility		$165.96	$165.96	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $389.05	Professional		$165.96	$229.09	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $954.99 / $1,479.11	Facility		$407.38	$954.99	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $537.03	Professional		$213.80	$331.13	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $707.95	Facility		$309.03	$309.03	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $489.78	Professional		$223.87	$223.87	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $549.54	Professional		$281.84	$407.38	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $275.42 / $316.23	Facility		$151.36	$275.42	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $389.05	Professional		$131.83	$199.53	$389.05