Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.52 / $140.52 / $2,359.54	Facility		$140.52	$140.52	$2,359.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $184.15 / $270.77	Professional		$140.52	$184.15	$270.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.33 / $472.26 / $1,238.00	Facility		$337.33	$472.26	$1,238.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $280.48 / $538.52	Professional		$179.84	$280.48	$538.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.47 / $290.47 / $624.05	Facility		$286.47	$290.47	$624.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $286.73 / $286.73 / $286.73	Professional		$286.73	$286.73	$286.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $221.07	Facility		$221.07	$221.07	$221.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $216.31 / $396.00	Professional		$161.38	$216.31	$396.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.37 / $337.33 / $468.30	Professional		$256.37	$337.33	$468.30
United Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $168.29 / $277.64	Professional		$124.36	$168.29	$277.64